Individual provider Active NPI

Linda Joy Uma Mulnick, D.C., D.A.B.C.I.

  • Internist Chiropractor
  • McCall, ID
National Provider Identifier
1710103643
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
CHIA595 Issued in ID
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C9446OtherIDUMA MULNICK, BLUE CROSS
000010019951OtherIDUMA MULNICK, BLUE SHIELD
CHIA595OtherIDUMA 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

LicenseStateTypeSpecialty
CHIA595IDMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back Country Chiropractic and Wellness Center Inc. Internist PastSince Dec 1, 2010 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.

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.

Verify at the official NPI Registry.