Mallory T Allen

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAD.0000384 Issued in CO

Practice address

115 N 8TH St
Canon City, CO 81212-3307

Phone

(719) 275-3968

NPI assigned

Feb 4, 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

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1407311426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125",
            "telephone_number": "732-529-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 8TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123307",
            "telephone_number": "719-275-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MALLORY",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD.0000384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Y Alberty, CRNA
• Mary Ann Elizabeth Alessi-Richards, NURSE PRACTITIONER
• P Mark Alford, MA
• Linda Alger
• Daniel Allen
• Susan Colby Allen, D.C.
• Wayne Edward Allies, RRT
• Brandy Lachelle Alvidrez, INTERN IN MSAC
• Diane Ruth Alvies, FNP-BC
• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)

• Hearing Instrument Specialist in Canon City, CO
• Providers in Canon City, CO by specialty
• Hearing Instrument Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.