Bonnie Lynette Mullins

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

843 E Kay St
Morton, IL 61550-2242

Phone

(309) 265-5432

NPI assigned

May 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Bonnie Lynette Joos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1922390939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 E KAY ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 E KAY ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502242",
            "telephone_number": "309-265-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "BONNIE",
        "middle_name": "LYNETTE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "JOOS",
            "middle_name": "LYNETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morton Terrace Healthcare and Rehabilitation Centre LLC
• Morton Villa Care Center LLC.
• Morton Villa Healthcare and Rehabilitation Centre LLC
• Molly Jo Muhl, OTR/L
• Jamie L Muller, APN
• Alyson Nash, FNP-BC
• Natalie Neil
• David L Newell, R.PH.
• Catherine Beratio Nullmeyer, MD
• Annamarie Bianchi Nutt

• Developmental Therapist in Morton, IL
• Providers in Morton, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.