Abigail Elizabeth Malloy, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2019029423 Issued in MO

Practice address

713 Hawk Run Dr
O Fallon, MO 63368-3778

Phone

(636) 697-8118

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1073110367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 HAWK RUN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683778",
            "telephone_number": "636-697-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HAWK RUN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683778",
            "telephone_number": "636-697-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019029423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyman, RDN, LD
• Kaley Maag
• Lisa Marie Mackey, OD
• Magnolia Lane Dental of O Fallon LLC
• Hannah Maliszewski
• Gerard J Malnar, M.D.
• Megan Malone, D.C.
• Miranda Dawn Malone, LE, LTA
• Autumn Chase Rosalia Maloney, DMD
• Vivek K Manchanda, MD

• Registered Dietitian in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.