Raquel Desiree Mallett

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2016043316 Issued in MO

Practice address

8559 N Line Creek Pkwy
Kansas City, MO 64154-2100

Phone

(816) 468-2011

NPI assigned

Mar 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1194265249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 W 66TH ST APT 303",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033425",
            "telephone_number": "816-315-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8559 N LINE CREEK PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542100",
            "telephone_number": "816-468-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "RAQUEL",
        "middle_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2016043316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lujain Malkawi
• Kristine D Mall, RN BC ANP
• Stephanie Lynn Mall, L.AC.
• Leslie Marie Malle, APRN
• Kathleen Mallett, MSN, FNP-C
• Luellen Malley, M.D.
• Mark J Malley, MD
• Logan A Mallicoat, DDS
• Alexander G. Mallouk, M.D.
• Lindsey Elizabeth Malloy-Walton, D.O.

• Occupational Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.