Tanya A Mullins, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000000710 Issued in TN

Practice address

125 Cool Springs Blvd
Suite 100
Franklin, TN 37067-6474

Phone

(615) 771-8552

Fax

(615) 771-8520

NPI assigned

Mar 28, 2007

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

• Tanya A Ferrell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1386763977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD",
            "address_2": "SUITE 100",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676474",
            "telephone_number": "615-771-8552",
            "fax_number": "615-771-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD",
            "address_2": "SUITE 100",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676474",
            "telephone_number": "615-771-8552",
            "fax_number": "615-771-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TANYA",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "710",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "FERRELL",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MTPC LLC
• Caitlin Mudd, RD, LDN
• Samantha Jane Mulder, RN, MSN, CNM, FNP
• Meredith Claire Muller, PHARMD
• Grant Mullins, DPT
• Multifocus Loc
• Stefani Mundy, MSSW, LMSW
• McKenna Munson
• Pradeep Muraleedharan
• Lindsey R Murkette, LCSW

• Physician Assistant in Franklin, TN
• Providers in Franklin, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.