Individual provider Active NPI

Christy Joy Mullin, FNP-C

  • Family Nurse Practitioner
  • Hedgesville, WV
National Provider Identifier
1346301785
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57766 Issued in WV
Practice address
3790 Hedgesville Road
Suite H
Hedgesville, WV 25427-6704
Phone
(304) 754-7160
Fax
(304) 754-7244
NPI assigned
Dec 12, 2006
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R157962 MD
Family Nurse Practitioner 363LF0000X 57766 WV Primary

Addresses

Primary practice location

3790 Hedgesville Road
Suite H
Hedgesville, WV 25427-6704

Mailing address

3790 Hedgesville Rd
Suite H
Hedgesville, WV 25427-6704
Phone (304) 754-7160

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cmullin643204@soc.inova.org
Direct Messaging Address cmullin643204@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000687 WV Practitioner - Nurse Practitioner 3375645781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R157962MDMDFamily Nurse Practitioner
57766WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc CurrentSince Nov 1, 2019 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

3790 Hedgesville Rd
Ste H
Hedgesville, WV 25427
Phone (304) 754-7160

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: cmullin643204@soc.inova.org
  • Direct secure messaging: cmullin643204@valleyhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1346301785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 HEDGESVILLE RD",
            "address_2": "SUITE H",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276704",
            "telephone_number": "304-754-7160",
            "fax_number": "304-754-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 HEDGESVILLE ROAD",
            "address_2": "SUITE H",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276704",
            "telephone_number": "304-754-7160",
            "fax_number": "304-754-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "CHRISTY",
        "middle_name": "JOY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R157962",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "57766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmullin643204@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmullin643204@soc.inova.org",
            "affiliation": "N",
            "address_1": "3790 Hedgesville Rd Ste H",
            "city": "Hedgesville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254276704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hedgesville, WV

Sources for this page

Verify at the official NPI Registry.