Taylor Mallory, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

6326955 Issued in VA

Practice address

26 Woodfin Rd
Newport News, VA 23601-4217

Phone

(757) 813-6853

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1417723081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOODFIN RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236014217",
            "telephone_number": "757-813-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WOODFIN RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236014217",
            "telephone_number": "757-813-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "6326955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subramanian Malaisamy, MBBS, MRCP (UK)
• Perla Marina Maldonado Rivera
• Patrice Chance Malena, FNP
• Sophia Gilman Mallari, DO
• Morgan Mallory
• Karen Teresa Malone
• Latonya Malone, LPN
• Elisa Joy Malpass, M.D.
• Rebecca Lauren Maltez, CSA, CSFA
• Rhoderick Jose Manadero, D.C.

• Registered Dietitian in Newport News, VA
• Providers in Newport News, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.