Jennifer Lynne Mullings-Black, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95168913 Issued in CA

Practice address

1085 Tasman Dr SPC 820
Sunnyvale, CA 94089-5919

Phone

(408) 480-2745

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Jennifer Lynne Callwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1841994530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 TASMAN DR SPC 820",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940895919",
            "telephone_number": "408-480-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 TASMAN DR SPC 820",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940895919",
            "telephone_number": "408-480-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINGS-BLACK",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95168913",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95168913",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "95168913",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95168913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CALLWOOD",
            "middle_name": "LYNNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Scott Mow, MD
• Hoi Moy, LPC
• Kimberly L Moyer, RD
• Wen Sheng Mu
• Jaclyn Muller, DPT
• Maxwell Edward Murphy, DC
• Randall Wayne Murray
• Robert L Murray, D.C.
• Sarah Kristina Murray, D.D.S.
• Emerson Muyco, M.P.T

• Registered Nurse in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.