Jennifer Brooke Mullins, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

140666999

Practice address

340 Mendel Pkwy W
Montgomery, AL 36117-5406

Phone

(334) 532-0220

NPI assigned

Jul 8, 2015

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

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1962885954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 CROSSWIND CIR APT 102",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178064",
            "telephone_number": "334-590-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MENDEL PKWY W",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361175406",
            "telephone_number": "334-532-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "140666999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mulberry Wellness Salon LLC
• Michael Brandon Mull, O.D
• Allan Muller, DO
• Corazon Mulles, MD
• Jason Graham Mullins Jr., D.M.D.
• Kimberley Mullins, FNP-C
• Richard Lee Mullins Jr., MD
• Ashata Kai Mumpfield, LICSW, PIP
• Mungara and Associates
• Sumeet Munjal, MD

• Speech-Language Pathologist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.