Active NPI
Mallory Nicole Powell, AUD
- Audiologist
- Lavale, MD
National Provider Identifier
1013365667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01383
- Practice address
- 938 National Hwy
Lavale, MD 21502-7326 - Phone
- (301) 729-1635
- Fax
- (301) 729-1697
- NPI assigned
- May 24, 2016
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01383 | MD | Primary |
Addresses
Primary practice location
938 National Hwy
Lavale, MD 21502-7326
Mailing address
938 National Hwy
Lavale, MD 21502-7326
Phone (301) 729-1635
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01383 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accuquest Hearing Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Midland, MI
- NPI 1851425698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1013365667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027326",
"telephone_number": "301-729-1635",
"fax_number": "301-729-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027326",
"telephone_number": "301-729-1635",
"fax_number": "301-729-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MALLORY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lavale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.