Active NPI
Janice Ellan Mullins, RN
- Registered Nurse
- Minneapolis, MN
National Provider Identifier
1386969657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R167690-9
- Practice address
- 2800 Chicago Ave S
Suite 300
Minneapolis, MN 55407-1353 - Phone
- (651) 225-7800
- Fax
- (651) 225-7820
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R167690-9 | MN | Primary |
Addresses
Primary practice location
2800 Chicago Ave S
Suite 300
Minneapolis, MN 55407-1353
Mailing address
1055 Westgate Dr
Suite 190
Saint Paul, MN 55114-1065
Phone (651) 312-1505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167690-9 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1386969657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 WESTGATE DR",
"address_2": "SUITE 190",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141065",
"telephone_number": "651-312-1505",
"fax_number": "651-641-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CHICAGO AVE S",
"address_2": "SUITE 300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071353",
"telephone_number": "651-225-7800",
"fax_number": "651-225-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "JANICE",
"middle_name": "ELLAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R167690-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.