Individual provider Active NPI

Stephanie Mullin, CNP

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1871778589
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.08937-NP Issued in OH
Practice address
1 Perkins SQ
Akron, OH 44308-1063
Phone
(330) 543-4488
Fax
(330) 543-5060
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.08937-NP OH Primary

Addresses

Primary practice location

1 Perkins SQ
Akron, OH 44308-1063

Mailing address

215 W Bowery St
Akron, OH 44308-1069
Phone (330) 543-4488

Other names 1

  • Stephanie Kamiab Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smullin28723@direct.chmca.org
Direct Messaging Address smullin28723@direct.chmca.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000281 OH Practitioner - Nurse Practitioner 2062479785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.08937-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Jan 28, 2014 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Jan 28, 2014 Accepting new patients
The Medical College of Wisconsin, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

328 E Hines Hill Rd
Hudson, OH 44236
Phone (234) 867-6820

320 E 8th St
Ste 140
Marietta, OH 45750
Phone (740) 373-0669

3778 Medina Rd
Medina, OH 44256
Phone (330) 543-0870

5000 E Market St
Warren, OH 44484
Phone (330) 856-8000

5000 E Market St
Ste 29
Warren, OH 44484
Phone (330) 856-8000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1871778589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-543-4488",
            "fax_number": "330-543-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-4488",
            "fax_number": "330-543-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "STEPHANIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.08937-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smullin28723@direct.chmca.org",
            "affiliation": "N",
            "address_1": "5000 E Market St Ste 29",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444842259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smullin28723@direct.chmca.org",
            "affiliation": "N",
            "address_1": "215 W Bowery St",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443081069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KAMIAB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.