Individual provider Active NPI

Harriet Pearson Mallicoat, ARNP CNM

  • Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1295706943
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45064 Issued in KS
Practice address
545 E Santa Fe St
Olathe, KS 66061-3462
Phone
(913) 764-1662
NPI assigned
Jan 31, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 45064 KS Primary
Advanced Practice Midwife 367A00000X 64080 KS
Family Nurse Practitioner 363LF0000X 034959 MO
Advanced Practice Midwife 367A00000X 034959 MO

Addresses

Primary practice location

545 E Santa Fe St
Olathe, KS 66061-3462

Mailing address

24417 W 114TH St
Olathe, KS 66061-7333
Phone (913) 780-1304

Other names 1

  • Ms. Hatsie Mallicoat Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
034959MOMDFamily Nurse Practitioner
64080KSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. Past Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1295706943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24417 W 114TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617333",
            "telephone_number": "913-780-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E SANTA FE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613462",
            "telephone_number": "913-764-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLICOAT",
        "first_name": "HARRIET",
        "middle_name": "PEARSON",
        "credential": "ARNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45064",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "64080",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "034959",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "034959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HATSIE",
            "last_name": "MALLICOAT",
            "prefix": "MS.",
            "credential": "ARNP. CNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.