Active NPI
Karen Denise Mallozzi, ARNP
- Family Nurse Practitioner
- Lebanon, OR
National Provider Identifier
1174768592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201501263NP-PP
- Practice address
- 675 N 5TH St
Lebanon, OR 97355-2875 - Phone
- (541) 451-6282
- NPI assigned
- Dec 15, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1476952 | FL | |
| Family Nurse Practitioner | 363LF0000X | 201501263NP-PP | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 71004251A | IN |
Addresses
Primary practice location
675 N 5TH St
Lebanon, OR 97355-2875
Mailing address
PO Box 1193
Corvallis, OR 97339-1193
Other names 1
- Miss Karen Denise Silcox
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmallozzi124160@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.77 of 100
- Quality
- 88.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1476952 | FL | MD | Family Nurse Practitioner |
| 201501263NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myles Rubin Samotin MD PA | Past | Accepting new patients |
Interoperability endpoints
- kmallozzi124160@samhealth.direct-ci.com
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1174768592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1193",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N 5TH ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552875",
"telephone_number": "541-451-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOZZI",
"first_name": "KAREN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1476952",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201501263NP-PP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004251A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmallozzi124160@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "675 N 5th St",
"city": "Lebanon",
"state": "OR",
"country_code": "US",
"postal_code": "973552875",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KAREN",
"last_name": "SILCOX",
"middle_name": "DENISE",
"prefix": "MISS",
"credential": "R.N.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.