Active NPI
Merle Annette Mullin
- Specialist
- Clearwater, FL
National Provider Identifier
1689808560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 229689
- Practice address
- 2401 Harn Blvd
Clearwater, FL 33764 - Phone
- (727) 458-4273
- NPI assigned
- May 7, 2009
- Last updated
- May 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 229689 | FL | Primary |
Addresses
Primary practice location
2401 Harn Blvd
Clearwater, FL 33764
Mailing address
100 Larchwood Dr
Largo, FL 33770-2845
Phone (727) 687-8617
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229689 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1689808560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LARCHWOOD DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337702845",
"telephone_number": "727-687-8617",
"fax_number": "727-588-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 HARN BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33764",
"telephone_number": "727-458-4273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "MERLE",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "229689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.