Debra Sue Mullin, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6826 Issued in FL

Practice address

4320 A1A S Ste 7
St Augustine, FL 32080-7436

Phone

(904) 679-3449

NPI assigned

Aug 27, 2019

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saint Augustine Rehabilitation Specialists LLCGroup PAC ID 8426107293, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Saint Augustine Rehabilitation Specialists LLC

  • Physical Therapist
  • St Augustine, FL
  • NPI 1548407521
  Medicare reassignment Care Compare group NPD
• Saint Augustine Rehabilitation Specialists LLC

  • Physical Therapist
  • St Augustine, FL
  • NPI 1538788617

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1891343430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 LEON ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320805510",
            "telephone_number": "904-540-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 A1A S STE 7",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807436",
            "telephone_number": "904-679-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Mariner Health Way Ste 213",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320863251",
            "country_code": "US",
            "telephone_number": "904-217-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Mueller
• Kurt Muellner, AUD
• Emma Muhaimeen
• Melissa D Muller, LMHC
• Andrew Steven Mullet, DDS
• Douglas Albert Mullin, PTA
• Janet R. Mullins, PSYD
• Suada Muminovic
• Sarah Colson Mundell, DPT
• Haley Mundy

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.