Mallory Knoll, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN006181 Issued in PA

Practice address

2300 Highland Ave
Bethlehem, PA 18020

Phone

(610) 861-8080

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Pavilonis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mknoll422855@direct2.lvhn.org

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1205320330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MILKWEED DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18020",
            "telephone_number": "610-861-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "MALLORY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "PAVILONIS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Jeannette Knaack
• Sean Knapp
• Jill Buehler Knerr, MSW
• Jake Knight
• Joshua Knipe
• Lori Ann Knotek, CRNP
• Kristen Laura Knowles, D.O.
• Jennifer C Ko, CRNP
• Patricia Anne Koba, CRNP
• Jennifer Lee Koch, D.M.D.

• Registered Dietitian in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.