Kimberly Terry Mullen, DPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

6807 Issued in TN

Practice address

1118 W Rye CT
Murfreesboro, TN 37129-6404

Phone

(615) 542-5211

NPI assigned

Jul 6, 2019

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

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562371200000",
    "number": "1639731086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W RYE CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371296404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W RYE CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371296404",
            "telephone_number": "615-542-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "KIMBERLY",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-06",
        "last_updated": "2019-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MTMC Hospitalist Services
• MTMC Laborist
• Madhusudhan Mudiam, M.D
• Leah Mueller, PHARMD
• Monicah Muhomba, PH.D
• Philip C Mullen, RPH
• Philip W Mullen, R PH
• Stanley P Mullen, MD
• Emily Jane Mullendore, DPH
• Zsolt Muller, D.C.

• Pharmacotherapy Pharmacist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Pharmacotherapy Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.