Kelli Lea Mullens

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

229731 Issued in TX

Practice address

11240 Castleberry St
Brownsboro, TX 75756-6218

Phone

(903) 515-0337

Fax

(903) 515-0337

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By 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

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1831699420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 CASTLEBERRY ST",
            "city": "BROWNSBORO",
            "state": "TX",
            "postal_code": "757566218",
            "telephone_number": "903-515-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 CASTLEBERRY ST",
            "city": "BROWNSBORO",
            "state": "TX",
            "postal_code": "757566218",
            "telephone_number": "903-515-0337",
            "fax_number": "903-515-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "KELLI",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "229731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonja Cherene Kyser, LVN
• Lee Ann Millender, LMSW
• Anita Miller, LAT, ATC
• Millwater Case Management Connections
• Katherine Nicole Moreno, BS, ATC, LAT
• Rebecca Ann Parker, APRN, FNP-C
• Sheryl N Parker, LPC
• Jason Thomas, LAT
• Rica L Wangler, LPC

• Licensed Vocational Nurse in Brownsboro, TX
• Providers in Brownsboro, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.