Active NPI
Shannon K Mullen, RN
- Registered Nurse
- Dorchester, MA
National Provider Identifier
1891171021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2277686
- Practice address
- 20 Thelma Rd
Dorchester, MA 02122 - Phone
- (617) 938-0228
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2277686 | MA | Primary |
Addresses
Primary practice location
20 Thelma Rd
Dorchester, MA 02122
Mailing address
653 East 6TH. St.
South Boston, MA 02127
Phone (617) 803-0396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2277686 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1891171021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 EAST 6TH. ST.",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "02127",
"telephone_number": "617-803-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 THELMA RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02122",
"telephone_number": "617-938-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "SHANNON",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2277686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.