Individual provider Active NPI

Katherine Dorene Mallette, ND

  • Naturopath
  • St Thomas, VI
National Provider Identifier
1174944367
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT 60424463 Issued in WA
Practice address
5302 Yacht Haven Grande # 102
St Thomas, VI 00802-5004
Phone
(340) 227-1299
NPI assigned
Dec 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT 60424463 WA Primary

Addresses

Primary practice location

5302 Yacht Haven Grande # 102
St Thomas, VI 00802-5004

Mailing address

5302 Yacht Haven Grande Ste 102
St Thomas, VI 00802-5004
Phone (340) 227-1299

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

LicenseStateTypeSpecialty
NT 60424463WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
V I Natural Medicine Naturopath Current Accepting new patients

Locations

5302 Yacht Haven Grande
Ste 102
St Thomas, VI 00802
Phone (340) 227-1299

Interoperability endpoints

  • Direct secure messaging: katherine.mallette@66028243255300.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1174944367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 YACHT HAVEN GRANDE STE 102",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025004",
            "telephone_number": "340-227-1299",
            "fax_number": "888-686-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 YACHT HAVEN GRANDE # 102",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025004",
            "telephone_number": "340-227-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "KATHERINE",
        "middle_name": "DORENE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-15",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60424463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.