Jason S. Mallory, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD0000001968 Issued in TN

Practice address

1224 Trotwood Ave
Columbia, TN 38401-4802

Phone

(931) 388-1111

Fax

(931) 540-4213

NPI assigned

Dec 3, 2008

Last updated

Sep 14, 2009By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1346485554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 EVERYMAN CT",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015596",
            "telephone_number": "731-571-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-388-1111",
            "fax_number": "931-540-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "JASON",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LD0000001968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.R. Taylor Rayburn, Jr. M.D. P.C.
• Robert X Macarthur III, DPM
• Faiza Mahfooz, DDS
• Mallard Eye Care, LLC (Mallard Eye Care Columbia)
• Dayaker Reddy Mallipeddi, MD
• Jennifer K Mallory, O.D.
• Denise Malone
• Andrew Mameli, PHARMD
• Heather Alison Maner
• Amy Mangrum

• Registered Dietitian in Columbia, TN
• Providers in Columbia, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.