Brooke Elaine Mullen, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1084318 Issued in PA

Practice address

1708 Pine St Apt 1R
Philadelphia, PA 19103

Phone

(240) 674-5524

NPI assigned

Jun 10, 2016

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1598114449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 PINE ST APT 1R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036767",
            "telephone_number": "240-674-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PINE ST APT 1R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "240-674-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "BROOKE",
        "middle_name": "ELAINE",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "1084318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas Mulla, MD
• Noelle Elizabeth Mullanaphy, PA-C
• Julie M. Mullany, PSYD
• Abhishek Prasad Mullapudi, MD
• Bridget Claire Mullarkey, OTR/L
• Courtney Marie Mullen
• Jill P. Mullen, SLP
• Marycatherine E. Mullen, C.R.N.P.
• Michael Thomas Mullen Jr., MD
• Gary W. Muller, M.D.

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.