Mallory Kate Bryan

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1295 Rogers LN
Lebanon, TN 37087-7387

Phone

(615) 418-6783

NPI assigned

Oct 16, 2019

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

Other names 1

• Mallory Kate Gonzalez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1376185835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ROGERS LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877387",
            "telephone_number": "615-418-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 ROGERS LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877387",
            "telephone_number": "615-418-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MALLORY",
        "middle_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "GONZALEZ",
            "middle_name": "KATE",
            "credential": "CD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie M Brown, PHARMD
• Browne Initiative
• Browne Initiative
• Chase Bruce
• Makayla Brunt
• Bryants Clinic,P.C.
• Marti Ann Bryson, RN
• Buckeye Drugs Inc.
• Buckeye Drugs Wellness LLC
• Emily R Bunn, PA-C

• Doula in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Doula in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.