Tamika Lynn Mallory

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

9916 Coyle St
Detroit, MI 48227-2411

Phone

(832) 708-8376

NPI assigned

Jan 23, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Averies Care Services LLC

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1326500547
  NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1346748464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 COYLE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272411",
            "telephone_number": "832-708-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 COYLE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272411",
            "telephone_number": "832-708-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "TAMIKA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Maria Mallory
• Ceola Mallory
• Gabriella Alexzandria Mallory
• Jennifer Mallory
• Kimberly E Mallory, BA
• Angela Malloy
• Srilatha Mallu, M.D.
• Corina Malone
• Eric Robert Malone, M.D.
• Evelyn Malone

• Chore Provider in Detroit, MI
• Providers in Detroit, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.