Kathy Mailloux, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

13-64108 Issued in KS

Practice address

2101 N Waldron St
Hutchinson, KS 67502-1197

Phone

(620) 669-2002

Fax

(620) 669-2597

NPI assigned

Jul 29, 2019

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1457905333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2005",
            "fax_number": "620-669-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2002",
            "fax_number": "620-669-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "KATHY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KS",
            "license": "13-64108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autum Marie Lustfield, LPC/LMAC
• Brett Taylor Lyman, DDS
• Karen Jean Lynch
• Lyndal J Penner Ed.S. LLC
• Tamara S Madden, LSCSW
• Utakarsh Malge
• Basit A Malik, MD
• William Mallonee, MD
• Tabitha Leann Manche, LPC
• James Mangimelli, AUD

• Diabetes Educator Registered Nurse in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Diabetes Educator Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.