Bonnie Mullen

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-101093 Issued in TX

Practice address

7301 Vidette LN SE
Owens Cross Roads, AL 35763-8893

Phone

(256) 975-4566

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butterfly Breastfeeding, LLC

  • Registered Nurse
  • Owens Cross Roads, AL
  • NPI 1134841323

  Lactation Consultant

  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1710719810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 BLEVINS GAP RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022709",
            "telephone_number": "575-496-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 VIDETTE LN SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638893",
            "telephone_number": "256-975-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-101093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mixon
• Todd David Morgan, O.D.
• Brittany Lee Morris
• James Markley Morrison Jr., M.D.
• Mountain View Family Dentistry Inc
• Emily Len Murray
• Jamie Marie Newell, LPC
• Performance Therapy Services, LLC
• Performance Vision Care, PC (Performance Vision)
• Kristi B. Phillips, COTA/L

• Lactation Consultant (Registered Nurse) in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Lactation Consultant (Registered Nurse) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.