Mallory McKeel, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1011080 Issued in TX

Practice address

4210 Benner
Kyle, TX 78640-2230

Phone

(512) 298-1645

Fax

(512) 298-1795

NPI assigned

Aug 28, 2020

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Alan D Silberberg MD PA

  • Pain Medicine Physician
  • Kyle, TX
  • NPI 1932518370
  Medicare reassignment NPD
• Alan D Silberberg MD PA

  • Interventional Pain Medicine Physician
  • San Marcos, TX
  • NPI 1184321564
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1205449352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 BENNER",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402230",
            "telephone_number": "512-298-1645",
            "fax_number": "512-298-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BENNER",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402230",
            "telephone_number": "512-298-1645",
            "fax_number": "512-298-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18005 Heard Loop",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787382110",
            "country_code": "US",
            "telephone_number": "512-809-3985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5625 Eiger Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358980",
            "country_code": "US",
            "telephone_number": "512-298-1645",
            "fax_number": "512-298-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEEL",
        "first_name": "MALLORY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1011080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Lorraine McFall, MS., BCBA
• Christopher McGarry
• G, Andrew McIntosh, MD
• McIntyre Family Dentistry, PLLC
• David Joseph McIntyre, DDS
• Nicholas Dominic Mecca, LPC
• Medical Services of Texas PLLC
• Megan Gillespie, LCSW, PLLC
• Ricky C Mehta, MD
• Shivani Mehta, DO

• Primary Care Nurse Practitioner in Kyle, TX
• Providers in Kyle, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.