Ilse Jo-Annette Mullen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003784 Issued in WA

Practice address

7928 Vireo CT SE
Olympia, WA 98513-5502

Phone

(360) 528-9376

NPI assigned

Jan 13, 2010

Last updated

Jan 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ilse Jo-Annette Scriven Former name

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1861722811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7928 VIREO CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985135502",
            "telephone_number": "360-528-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7928 VIREO CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985135502",
            "telephone_number": "360-528-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "ILSE",
        "middle_name": "JO-ANNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILSE",
            "last_name": "SCRIVEN",
            "middle_name": "JO-ANNETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priscillah Muigai, FNP-BC
• Jacqueline Kay Muir, OTR/L
• Lisa Marie Mukai-Fleming, ARNP
• Joanne Marie Mulder, PA-C
• Jordan Justin Tjeerd Mulder, D.O.
• Maria Lynn Mulligan
• Jessica Mullins
• Joseph C Mulrean, DMD
• Multicare Health System (Olympic Sports & Spine)
• Multicare Health System (Olympic Sports & Spine)

• Occupational Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.