Active NPI
Colleen Malone, APRN
- Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 24406
- Practice address
- 7320 Shallowford Rd Ste B
Chattanooga, TN 37421 - Phone
- (423) 648-6483
- NPI assigned
- Jul 9, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 24406 | TN | Primary |
Addresses
Primary practice location
7320 Shallowford Rd Ste B
Chattanooga, TN 37421
Mailing address
7320 Shallowford Rd Ste B
Chattanooga, TN 37421-4942
Other practice location 1
7320 Shallowford Rd Ste B
Chattanooga, TN 37421
Phone (423) 648-6483
Other practice location 2
7320 Shallowford Rd Ste B
Chattanooga, TN 37421
Phone (423) 648-6483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24406 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
2037 Congress Pkwy S
Athens, TN 37303
Phone (423) 381-0152
1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426
5546 Highway 153
Hixson, TN 37343
241 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 413-0185
9058 Old Lee Hwy
Ooltewah, TN 37363
Phone (423) 531-9110
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Chattanooga, TN
- NPI 1225381148
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1154817658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SHALLOWFORD RD STE B",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 SHALLOWFORD RD STE B",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-648-6483"
}
],
"practiceLocations": [
{
"address_1": "7320 Shallowford Rd Ste B",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "37421",
"country_code": "US",
"telephone_number": "423-648-6483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7320 Shallowford Rd Ste B",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "37421",
"country_code": "US",
"telephone_number": "423-648-6483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "COLLEEN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "24406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.