Active NPI
Mallory Nicole Adkins
- Speech-Language Assistant
- Yelm, WA
National Provider Identifier
1184324055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SP61175367
- Practice address
- 1315 Yelm Ave W
Yelm, WA 98597-9449 - Phone
- (360) 458-7777
- NPI assigned
- Mar 8, 2023
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SP61175367 | WA | Primary |
Addresses
Primary practice location
1315 Yelm Ave W
Yelm, WA 98597-9449
Mailing address
4311B Birch St SW
McChord AFB, WA 98439-1400
Other practice location 1
10605 Carter St SE
Yelm, WA 98597-8486
Phone (360) 458-1100
Other practice location 2
16535 110th Ave SE
Yelm, WA 98597-9638
Phone (360) 458-3700
Other practice location 3
16525 100th Way SE
Yelm, WA 98597-9629
Phone (360) 458-4800
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 |
|---|---|---|---|
| SP61175367 | WA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1184324055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311B BIRCH ST SW",
"city": "MCCHORD AFB",
"state": "WA",
"postal_code": "984391400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 YELM AVE W",
"city": "YELM",
"state": "WA",
"postal_code": "985979449",
"telephone_number": "360-458-7777"
}
],
"practiceLocations": [
{
"address_1": "10605 Carter St SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985978486",
"country_code": "US",
"telephone_number": "360-458-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16535 110th Ave SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985979638",
"country_code": "US",
"telephone_number": "360-458-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16525 100th Way SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985979629",
"country_code": "US",
"telephone_number": "360-458-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADKINS",
"first_name": "MALLORY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "WA",
"license": "SP61175367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.