Amanda Mulliniks, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

13854 Issued in TN

Practice address

4901 Nolensville Pike
Nashville, TN 37211-5411

Phone

(615) 988-2340

Fax

(615) 988-2643

NPI assigned

Dec 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Fordham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1346485984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 ELKINS AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093911",
            "telephone_number": "615-440-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115411",
            "telephone_number": "615-988-2340",
            "fax_number": "615-988-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIKS",
        "first_name": "AMANDA",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "162358",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "13854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FORDHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Alexandra Muller, LPC-MHSP (TEMP)
• Melissa Muller
• Ryan David Muller, MD
• Robert Taylor Mullican, CRNA
• Rebecca Mulligan, APRN, MSN, NNP-BC
• Alexandra Christine Mullins, APRN, WHNP-BC
• Grace Mullins, LMFT
• Haley Anne Mullins, PA
• Jessica Mullins
• Judith Mullins

• Pediatric Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.