Individual provider Active NPI

Debra Ann Mull, RN, BHSR, MBA

  • Case Management Registered Nurse
  • Anderson, SC
National Provider Identifier
1740944743
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
34382 Issued in SC
Practice address
955 Boscobel Rd
Anderson, SC 29625-6704
Phone
(864) 332-6549
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 34382 SC Primary

Addresses

Primary practice location

955 Boscobel Rd
Anderson, SC 29625-6704

Mailing address

955 Boscobel Rd
Anderson, SC 29625-6704
Phone (864) 332-6549

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Michelin Health Information Exchange (HIE)
CONNECT URL Michelin Health Information Exchange (HIE)
CONNECT URL Michelin Health Information Exchange (HIE)
CONNECT URL Anderson Direct

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
Credentials
Master of Business Administration, Registered Nurse

State licenses

LicenseStateTypeSpecialty
34382SCMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1740944743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BOSCOBEL RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296256704",
            "telephone_number": "864-332-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BOSCOBEL RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296256704",
            "telephone_number": "864-332-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, BHSR, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "34382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Michelin",
            "affiliation": "N",
            "endpointDescription": "994 McCLain Road Belton SC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Belton",
            "address_1": "994 McClain Rd",
            "city": "Belton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296277001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Michelin",
            "affiliation": "N",
            "endpointDescription": "994 McCLain Road Belton SC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Belton",
            "address_1": "994 McClain Rd",
            "city": "Belton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296277001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Michelin",
            "affiliation": "N",
            "endpointDescription": "994 McCLain Road Belton SC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Belton",
            "address_1": "994 McClain Rd",
            "city": "Belton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296277001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anderson",
            "affiliation": "N",
            "endpointDescription": "Michelin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Anderson",
            "address_1": "955 Boscobel Rd",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296256704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.