Gregory Gerald Mullins, LMT, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00045933 Issued in WA

Practice address

1409 Franklin St Ste 103
Vancouver, WA 98660-2860

Phone

(707) 480-4671

NPI assigned

Sep 4, 2019

Last updated

Apr 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1588213409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PACIFIC AVE N APT 102",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263417",
            "telephone_number": "707-480-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 FRANKLIN ST STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602860",
            "telephone_number": "707-480-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "GREGORY",
        "middle_name": "GERALD",
        "credential": "LMT, LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00045933",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60021990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MULLIGG369BR",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Muller, MD
• Regina Muller
• Marcy M Mullet, LPC
• Lynn Michelle Mullinix, LMHCA
• Claire Mullins, PT, DPT
• Kara Mullins, CB61048135
• Peter Michael Mullins
• Wudeneh Molla Mulugeta, M.D., M.P.H.
• Alissa Mulvihill
• Samia Kay Munayirji, MD

• Licensed Practical Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.