Active NPI
Mallory A. Anderson, REGISTERED NURSE
- Registered Nurse
- Greenwood Village, CO
National Provider Identifier
1063763480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200274
- Practice address
- 6162 S Willow Dr
Suite 100
Greenwood Village, CO 80111-5113 - Phone
- (303) 220-9200
- Fax
- (303) 741-4173
- NPI assigned
- Sep 25, 2012
- Last updated
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200274 | CO | Primary |
Addresses
Primary practice location
6162 S Willow Dr
Suite 100
Greenwood Village, CO 80111-5113
Mailing address
6162 S Willow Dr
Suite 100
Greenwood Village, CO 80111-5113
Phone (303) 220-9200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200274 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1063763480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6162 S WILLOW DR",
"address_2": "SUITE 100",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801115113",
"telephone_number": "303-220-9200",
"fax_number": "303-741-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6162 S WILLOW DR",
"address_2": "SUITE 100",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801115113",
"telephone_number": "303-220-9200",
"fax_number": "303-741-4173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MALLORY",
"middle_name": "A.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "200274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
- Christina S Anderson, LPC, ATR
- Courtney Marie Anderson, LPC
- Gerry Amburr Anderson, FNP
- Jennifer E. Anderson, RN
- Kristin Nicole Anderson, PT, DPT, OCS, CLT
- Martha Lynn Anderson, CCC-SLP
- Mirandi R Anderson, SLP
- Peggy J Anderson, D.C.
- Thomas Dean Anderson, D.C.
- Andrew T Smith DDS PLLC (Front Range Dental Sleep Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.