Mallory Bitetzakis

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9503271 Issued in FL

Practice address

1319 Primwood LN
Lutz, FL 33549-9347

Phone

(813) 943-8458

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

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

Other names 1

• Mallory Marie Madrid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1013812189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PRIMWOOD LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335499347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PRIMWOOD LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335499347",
            "telephone_number": "813-943-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITETZAKIS",
        "first_name": "MALLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9503271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "MADRID",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manjusha D Birje, MS CCC-SLP
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• Birthing Miracles LLC
• Michael Lee Bishop, PH.D.
• Devan Bittinger
• Bertha Black
• Blackstone Nurse Registry LLC
• Dave W Blackwell, RPH
• Shelley Forgas Blanco, M.S., CCC/SLP

• General Practice Registered Nurse in Lutz, FL
• Providers in Lutz, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.