Active NPI
Marla J Mullen, CRNP
- Family Nurse Practitioner
- Frederick, MD
National Provider Identifier
1457496911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R170560
- Practice address
- 501 W 7TH St
Frederick, MD 21701 - Phone
- (301) 698-8374
- Fax
- (240) 439-8910
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R170560 | MD | Primary |
Addresses
Primary practice location
501 W 7TH St
Frederick, MD 21701
Mailing address
PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8913
Other practice location 1
1801 woodlawn dr
baltimore, MD 21207
Phone (410) 887-1323
Other practice location 2
1801 woodlawn dr
baltimore, MD 21207
Phone (410) 887-1323
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170560 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1457496911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37086",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973086",
"telephone_number": "240-439-8913",
"fax_number": "240-439-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21701",
"telephone_number": "301-698-8374",
"fax_number": "240-439-8910"
}
],
"practiceLocations": [
{
"address_1": "1801 woodlawn dr",
"address_purpose": "LOCATION",
"city": "baltimore",
"state": "MD",
"postal_code": "21207",
"country_code": "US",
"telephone_number": "410-887-1323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 woodlawn dr",
"address_purpose": "LOCATION",
"city": "baltimore",
"state": "MD",
"postal_code": "21207",
"country_code": "US",
"telephone_number": "410-887-1323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLEN",
"first_name": "MARLA",
"middle_name": "J",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R170560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.