Active NPI
Cathy McMullen
- Home Health Aide
- Quincy, FL
National Provider Identifier
1487383717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1914 W King St
Quincy, FL 32351-2054 - Phone
- (850) 294-5713
- NPI assigned
- Jun 10, 2022
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | FL | Primary |
Addresses
Primary practice location
1914 W King St
Quincy, FL 32351-2054
Mailing address
1914 W King St
Quincy, FL 32351-2054
Phone (850) 294-5713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37440000X | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | brighteyescmk013@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1487383717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 W KING ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323512054",
"telephone_number": "850-294-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 W KING ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323512054",
"telephone_number": "850-294-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "CATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37440000X",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "brighteyescmk013@gmail.com",
"affiliation": "N",
"endpointDescription": "home computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1914 W King St",
"city": "Quincy",
"state": "FL",
"country_code": "US",
"postal_code": "323512054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.