Active NPI
Ashley Harris Mullen, C.O., L.O.
- Orthotist
- Temple, TX
National Provider Identifier
1962835769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 1559
- Practice address
- 2211 S 57TH St
Temple, TX 76504-6947 - Phone
- (254) 771-5002
- Fax
- (254) 771-5008
- NPI assigned
- Aug 15, 2013
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 1559 | TX | Primary |
Addresses
Primary practice location
2211 S 57TH St
Temple, TX 76504-6947
Mailing address
2211 S 57TH St
Temple, TX 76504-6947
Phone (254) 771-5002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1559 | TX | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & G Prosthetic LTD | Orthotist | Past | Accepting new patients |
| G & G Prosthetic LTD | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
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": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1962835769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 S 57TH ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046947",
"telephone_number": "254-771-5002",
"fax_number": "254-771-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 S 57TH ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046947",
"telephone_number": "254-771-5002",
"fax_number": "254-771-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "ASHLEY",
"middle_name": "HARRIS",
"name_prefix": "Mrs.",
"credential": "C.O., L.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "1559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.