Carol Mullican

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

087609 Issued in MO

Practice address

904 S 10TH St
Saint Joseph, MO 64503-2405

Phone

(816) 233-5188

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carol.mullican.1@25988.direct.athenahealth.com

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.

• Social Welfare Board of the County of Buchanan

  • Dental Clinic/Center
  • Saint Joseph, MO
  • NPI 1699411595
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497966931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-233-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-233-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "087609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sree Naga Vishnu Var Motupalli, MD
• Skyler Mahlon Moxley, OTR
• George Dale Mulder, M.D.
• Charles Allen-Wayne Mulkey, STUDENT
• Trevor Lawrence Mull, STUDENT
• Charles N. Mullican, M.D.
• Murphy Watson Burr Eye Center Inc
• Murphy Watson Burr Eye Center Inc
• Murphy Watson Burr Surgery Center Inc
• Erin Murphy, PLPC

• Adult Health Nurse Practitioner in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.