AMY ELIZABETH MACMULLIN M.D.
NPI 1477936631
Student in an Organized Health Care Education/Training Program in Lake Charles, LA

Q: What is Amy Macmullin's NPI number?

The NPI number for Amy Macmullin is 1477936631. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Q: What is Amy Macmullin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Macmullin was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2015PECOS Enrolled

1525 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 494-6767(337) 494-6750 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Elizabeth Macmullin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY ELIZABETH MACMULLIN M.D. (NPI 1477936631) is an individual student in an organized health care education/training program in Lake Charles, Louisiana and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477936631

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMY ELIZABETH MACMULLINCredential: M.D.

Location Address1525 OAK PARK BLVDLake Charles, LA 70601-8849

Mailing Address1525 Oak Park BlvdLake Charles, LA 70601-8849 · (337) 494-6767 · Fax (337) 494-6750

Phone(337) 494-6767

Fax(337) 494-6750

Sole ProprietorNo

Enumeration DateJuly 7, 2015

Last NPPES UpdateJuly 10, 2015

✔ NPI 1477936631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1525 OAK PARK BLVD, Lake Charles, LA 70601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Elizabeth Macmullin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANNAH ALEXIS CANTER DO

Student in an Organized Health Care Education/Training Program