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SAMUEL ZACHARY MULLINAX
NPI 1740143643
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since December 08, 2025
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 713-8000 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Zachary Mullinax NPPES

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

SAMUEL ZACHARY MULLINAX (NPI 1740143643) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1740143643
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ZACHARY MULLINAX
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address1125 N College AveFayetteville, AR 72703-1908
Phone(479) 713-8000
Sole ProprietorNo
Enumeration DateDecember 8, 2025
NPPES CertifiedDecember 7, 2025
✔ NPI 1740143643 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.
1125 N COLLEGE AVE, Fayetteville, AR 72703
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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.

GRACE WOOD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
COLIN CARR MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 463-3370
JENNIFER STEINAUER PTA
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630
RYAN RUSSELL
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
KELVIN VANN
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
LUKE TOLLETT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. TONY SCOTT ROLLER II MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. JAMILA WEATHERLY MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Mullinax's NPI number?

The NPI number for Samuel Mullinax is 1740143643. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Samuel Mullinax located?

Samuel Mullinax practices at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 713-8000.

What is Samuel Mullinax's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Mullinax was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.