Kathleen Mallender, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704161907 Issued in MI

Practice address

4201 W Michigan Ave
Kalamazoo, MI 49006-5810

Phone

(269) 372-1200

NPI assigned

Apr 4, 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)

Enrolled

Credentials

Certified Nurse Midwife

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1245763648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28708 BLACKSTONE DR",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762616",
            "telephone_number": "519-903-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065810",
            "telephone_number": "269-372-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLENDER",
        "first_name": "KATHLEEN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704161907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Malik, MD
• Seth Malin, M.D.
• Natalya J. Malinchoc Federinko, LPC
• Rajeev Reddy Malireddy, MD
• Sarah Mallah
• Rebecca Lee Mallett, D.O.
• Timothy John Mallett, RPH
• William Maxwell Malloy
• Lauren Malone
• Joyce Ann Maloney

• Advanced Practice Midwife in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.