Individual provider Active NPI

Gretchen Gail Derr Mullins, MSAT

  • Art Therapist
  • Kansas City, MO
National Provider Identifier
1659463172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
3515 Broadway St
Kansas City, MO 64111-2537
Phone
(816) 753-5144
Fax
(816) 753-0804
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X Primary

Addresses

Primary practice location

3515 Broadway St
Kansas City, MO 64111-2537

Mailing address

14697 Woods LN
Rayville, MO 64084-9019
Phone (816) 645-5227

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659463172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14697 WOODS LN",
            "city": "RAYVILLE",
            "state": "MO",
            "postal_code": "640849019",
            "telephone_number": "816-645-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112537",
            "telephone_number": "816-753-5144",
            "fax_number": "816-753-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERR MULLINS",
        "first_name": "GRETCHEN",
        "middle_name": "GAIL",
        "credential": "MSAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.