Mallory N Pochop, MS, RD, LMNT, LD

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

301 N 27TH St
Norfolk, NE 68701-4401

Phone

(408) 844-8126

Fax

(402) 955-4184

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mallory N Fangman Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1205575123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "408-844-8126",
            "fax_number": "402-955-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "408-844-8126",
            "fax_number": "402-955-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCHOP",
        "first_name": "MALLORY",
        "middle_name": "N",
        "credential": "MS, RD, LMNT, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "FANGMAN",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Kristen Plasencia
• Kelliann MM Platt
• Chenoa Pleskac
• Miranda Plumbtree
• Shantel Plummer
• Kylie M Podany
• Joyce Annette Pojar
• Viana Polanco
• Debra Polk
• James N Pollard Jr., PLMHP, PLADC

• Nutritionist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Nutritionist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.