Jennifer L Boyd-Mullineaux, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

211 State St
Bridgeport, CT 06604-4808

Phone

(203) 366-0664

Fax

(203) 394-6784

NPI assigned

Aug 30, 2006

Last updated

Jan 10, 2014By 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 2

Addresses

Other names 1

• Jennifer Boyd-Mullineaux Other name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cytoheal Wound Solutions PLLCGroup PAC ID 9234655416, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Cytoheal Wound Solutions PLLC

  • Family Medicine Physician
  • Pembroke, NH
  • NPI 1104669456

  CT

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1881703940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112348",
            "telephone_number": "203-752-8785",
            "fax_number": "203-752-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 STATE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044808",
            "telephone_number": "203-366-0664",
            "fax_number": "203-394-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD-MULLINEAUX",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001304",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOYD-MULLINEAUX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Lynn Bourguillon
• James D Bovienzo, D.O.
• Eiffel Bowen
• Marcus Pierre Bowen Jr., DPM
• Yannick Bowen
• Shamayra Viola Boyd
• Kayla Angela Boyea, MD
• Mark Boykin, ND
• Boys & Girls Village
• Boys and Girls Village

• Medical Physician Assistant in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.