Individual provider Active NPI

Mallory O'Brien Talley

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1457079212
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201698 Issued in LA
Practice address
8585 Picardy Ave Ste 318
Baton Rouge, LA 70809-3749
Phone
(225) 333-3800
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201698 LA
Family Nurse Practitioner 363LF0000X 201698 LA Primary

Addresses

Primary practice location

8585 Picardy Ave Ste 318
Baton Rouge, LA 70809-3749

Mailing address

18568 Magnolia Est
Prairieville, LA 70769-3215
Phone (337) 577-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502001791 LA Practitioner - Nurse Practitioner 2769847425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8585 Picardy Ave
Suite 318
Baton Rouge, LA 70809-3749
Phone (225) 333-3800

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201698LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Current Accepting new patients
Baton Rouge General Medical Center Nurse Practitioner CurrentSince Feb 15, 2023 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

8490 Picardy Ave
Ste 100B
Baton Rouge, LA 70809

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1457079212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 MAGNOLIA EST",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693215",
            "telephone_number": "337-577-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 318",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-333-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "MALLORY",
        "middle_name": "O'BRIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "201698",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "201698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.