Courtney Danielle Mullins

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A03698 Issued in KY

Practice address

200 Nursing Home LN
Pikeville, KY 41501-6896

Phone

(606) 639-4840

NPI assigned

Aug 23, 2017

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

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1831616549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 RAILROAD HL",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415379177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NURSING HOME LN",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016896",
            "telephone_number": "606-639-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "COURTNEY",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Family Medicine, LLC
• Mountain Medicine Pharmacy Inc
• Mountain Outreach Inc (Mountain Outreach Adult Day-Pike)
• Cassidy Paige Mounts
• Christa Muckenhausen, MD
• Heather Mishelle Mullins
• Jennifer Erin Mullins, M.D.
• Kristi Denise Mullins
• Kristie Lea Mullins, CRNA
• Kyle B Mullins, PHARMD

• Physical Therapy Assistant in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.