Mallory Renee' Croley

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1 Medical Center Dr
Morgantown, WV 26506-1200

Phone

(304) 598-0430

Fax

(304) 598-4890

NPI assigned

Mar 19, 2022

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

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1073262937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 W MOUNTAIN VIEW RD APT 1506",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042533",
            "telephone_number": "704-783-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-0430",
            "fax_number": "304-598-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROLEY",
        "first_name": "MALLORY",
        "middle_name": "RENEE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Crissey
• Nikos Crist
• Crystal Critchley, LPN
• Todd J Crocco, M.D.
• Leighton Mae Croft, MSW
• Madison Alexandra Crone, BA
• Nancy L Cronenberger, CRNA
• Anne Cronin, O.T.
• Heather Cross
• Rachel Cross

• Student in an Organized Health Care Education/Training Program in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Student in an Organized Health Care Education/Training Program in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.