Individual provider Active NPI

Kaitlyn Mullins, FNP-C

  • Family Nurse Practitioner
  • Hurley, VA
National Provider Identifier
1366295859
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189932 Issued in VA
Practice address
10121 Hurley Rd.
Hurley, VA 24620
Phone
(276) 528-2133
Fax
(304) 967-5336
NPI assigned
Apr 8, 2024
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4018316 KY
Nurse Practitioner 363L00000X 0024189932 VA
Nurse Practitioner 363L00000X 119019 WV
Family Nurse Practitioner 363LF0000X 0024189932 VA Primary

Addresses

Primary practice location

10121 Hurley Rd.
Hurley, VA 24620

Mailing address

10121 Hurley Rd
Hurley, VA 24614
Phone (276) 528-2133

Other practice location 1

781 Virginia Ave
Welch, WV 24801-2341
Phone (304) 436-4555

Other practice location 2

460 Front St
Richlands, VA 24641-3065
Phone (276) 598-4448

Other practice location 3

1616 Mountaineer Highway
Bradshaw, WV 24817
Phone (304) 967-5333

Other names 1

  • Kaitlyn Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240521000649 VA Practitioner - Nurse Practitioner 4385086552 Reassigns benefits to 1 organization
I20240820000736 WV Practitioner - Nurse Practitioner 4385086552 Reassigns benefits to 2 organizations
I20250124000985 KY Practitioner - Nurse Practitioner 4385086552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopkins Medical Association LLCGroup PAC ID 3476983040, 11 clinicians

Practice addresses (Care Compare)

1616 Mountaineer Hwy
Bradshaw, WV 24817
Phone (276) 598-4448

206 Ky Rd
RT 979
Harold, KY 41635-9046
Phone (606) 478-2144

460 Front St
Richlands, VA 24641-3065
Phone (276) 598-4448

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4018316KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Medical Association LLC Family CurrentSince May 1, 2024 Accepting new patients
Savida Health, PC Past Accepting new patients
Wynn Medical Center Past Accepting new patients

Locations

206 Ky Route 979
Harold, KY 41635
Phone (606) 437-4100

3359 Linden Dr
Bristol, VA 24202
Phone (276) 494-0230

1014 Park Ave NW
Norton, VA 24273
Phone (276) 679-0800

177 Dollar Dr
Ste A
Pennington Gap, VA 24277
Phone (276) 318-0414

460 Front St
Richlands, VA 24641
Phone (304) 967-5919

781 Virginia Ave
Welch, WV 24801
Phone (304) 436-6360

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 2

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1366295859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 HURLEY RD",
            "city": "HURLEY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-528-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 HURLEY RD.",
            "city": "HURLEY",
            "state": "VA",
            "postal_code": "24620",
            "telephone_number": "276-528-2133",
            "fax_number": "304-967-5336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Welch",
            "state": "WV",
            "postal_code": "248012341",
            "country_code": "US",
            "telephone_number": "304-436-4555",
            "fax_number": "304-436-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Front St",
            "address_purpose": "LOCATION",
            "city": "Richlands",
            "state": "VA",
            "postal_code": "246413065",
            "country_code": "US",
            "telephone_number": "276-598-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Mountaineer Highway",
            "address_purpose": "LOCATION",
            "city": "Bradshaw",
            "state": "WV",
            "postal_code": "24817",
            "country_code": "US",
            "telephone_number": "304-967-5333",
            "fax_number": "304-967-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KAITLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4018316",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024189932",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "119019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "COOPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurley, VA

Sources for this page

Verify at the official NPI Registry.