Active NPI
Carmen Mullins, OT
- Low Vision Occupational Therapist
- Houston, TX
National Provider Identifier
1417539495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- 121173
- Practice address
- 6400 Fannin St Ste 1800
Houston, TX 77030-1526 - Phone
- (713) 486-9400
- NPI assigned
- Apr 28, 2021
- 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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | 121173 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 1800
Houston, TX 77030-1526
Mailing address
655 Yale St Apt 438
Houston, TX 77007-2848
Phone (334) 399-3588
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121173 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1417539495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 YALE ST APT 438",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770072848",
"telephone_number": "334-399-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 1800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301526",
"telephone_number": "713-486-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "CARMEN",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "TX",
"license": "121173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.