Active NPI
Linda Joy Uma Mulnick, D.C., D.A.B.C.I.
- Internist Chiropractor
- McCall, ID
National Provider Identifier
1710103643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- CHIA595
- Practice address
- 201 Park St.
McCall, ID 83638-1005 - Phone
- (208) 634-8129
- Fax
- (208) 634-7651
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | CHIA595 | ID | Primary |
Addresses
Primary practice location
201 Park St.
McCall, ID 83638-1005
Mailing address
201 Park St.
PO Box 1005
McCall, ID 83638-1005
Phone (208) 634-8129
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C9446 | Other | ID | UMA MULNICK, BLUE CROSS |
| 000010019951 | Other | ID | UMA MULNICK, BLUE SHIELD |
| CHIA595 | Other | ID | UMA MULNICK, LICENSE # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA595 | ID | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Country Chiropractic and Wellness Center Inc. | Internist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physician Chiropractor
- McCall, ID
- NPI 1861555286
Internist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710103643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST.",
"address_2": "PO BOX 1005",
"city": "MCCALL",
"state": "ID",
"postal_code": "836381005",
"telephone_number": "208-634-8129",
"fax_number": "208-634-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PARK ST.",
"city": "MCCALL",
"state": "ID",
"postal_code": "836381005",
"telephone_number": "208-634-8129",
"fax_number": "208-634-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULNICK",
"first_name": "LINDA JOY",
"middle_name": "UMA",
"credential": "D.C., D.A.B.C.I.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "ID",
"license": "CHIA595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMA MULNICK, BLUE CROSS",
"identifier": "C9446",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMA MULNICK, BLUE SHIELD",
"identifier": "000010019951",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMA MULNICK, LICENSE #",
"identifier": "CHIA595",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.