Active NPI
Michelle M Mallett, ATC
- Athletic Trainer
- Durham, NH
National Provider Identifier
1154820348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1259
- Practice address
- 145 Main St
Durham, NH 03824-3572 - Phone
- (605) 868-4507
- NPI assigned
- Feb 2, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1259 | NH | Primary |
Addresses
Primary practice location
145 Main St
Durham, NH 03824-3572
Mailing address
5 Bennett Way Apt 20
Newmarket, NH 03857-2363
Phone (605) 868-4507
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 |
|---|---|---|---|
| 1259 | NH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1154820348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BENNETT WAY APT 20",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038572363",
"telephone_number": "605-868-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MAIN ST",
"city": "DURHAM",
"state": "NH",
"postal_code": "038243572",
"telephone_number": "605-868-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLETT",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "1259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.