Individual provider Active NPI

Julie Mallin, DNP, FNP-BC

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1376042499
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4006595 Issued in KY
Practice address
336 29TH St Ste 101
Ashland, KY 41101-1976
Phone
(606) 324-4404
NPI assigned
Feb 4, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties Inc 397 clinicians

Practice addresses (Care Compare)

336 29TH St
Suite 100
Ashland, KY 41101-1900
Phone (606) 326-4404

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20201210002498 NC Practitioner - Nurse Practitioner 3072925338 Reassigns benefits to 2 organizations
I20230824000537 KY Practitioner - Nurse Practitioner 3072925338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4006595KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 7, 2023 Accepting new patients
Star Medical Clinic PLLC CurrentSince Jul 13, 2021 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 7, 2023 Accepting new patients
Western North Carolina Community Health Services Inc. Current Accepting new patients

Locations

336 29th St
Ste 100
Ashland, KY 41101
Phone (606) 324-4404

336 29th St
Ste 101
Ashland, KY 41101
Phone (606) 324-4404

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

461 Western Blvd
Ste 122
Jacksonville, NC 28546
Phone (910) 333-0283

Interoperability endpoints

  • Direct secure messaging: jmallin234@direct.kdhealth.us

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010227 NC
Family Nurse Practitioner 363LF0000X 4006595 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

336 29TH St Ste 101
Ashland, KY 41101-1976

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-4000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2023.

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1376042499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011976",
            "telephone_number": "606-324-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIN",
        "first_name": "JULIE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-04",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4006595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.