Individual provider Active NPI

Nina D. Mallett, FNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1467617399
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.10212 Issued in OH
Practice address
PO Box 932958
Cleveland, OH 44193-0028
Phone
(614) 328-0335
Fax
(614) 328-0336
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.10212 OH Primary

Addresses

Primary practice location

PO Box 932958
Cleveland, OH 44193-0028

Mailing address

8 Cadillac Dr
Suite 250
Brentwood, TN 37027-5087
Phone (615) 425-4200

Other practice location 1

293 Apache Cir
Westerville, OH 43081-2791
Phone (614) 581-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081103000763 OH Practitioner - Nurse Practitioner 8921167164 Reassigns benefits to 2 organizations
I20150417001169 GA Practitioner - Nurse Practitioner 8921167164

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

1045 Hill N Rd
Pickerington, OH 43147-8666
Phone (614) 328-0341

1501 W 5TH St
Marysville, OH 43040-9290
Phone (937) 209-2454

1745 Morse Rd
Columbus, OH 43229-6501
Phone (614) 405-9415

199 Graceland Blvd
Columbus, OH 43214-1529
Phone (614) 410-2814

350 E Broad St
Pataskala, OH 43062-9551
Phone (740) 964-2532

6011 Groveport Rd
Groveport, OH 43125-1006
Phone (614) 343-4783

6095 Gender Rd
Canal Winchester, OH 43110-2014
Phone (614) 417-5196

7000 E Broad St
Columbus, OH 43213-1519
Phone (614) 328-0335

7100 Hospital Dr
Dublin, OH 43016-8463
Phone (614) 339-0467

7345 State Route 3
Westerville, OH 43082-8654
Phone (614) 794-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Feb 17, 2015 Accepting new patients
Faith and Hope Clinician LLC Family CurrentSince Nov 18, 2024 Accepting new patients
Signify Health, LLC CurrentSince Aug 9, 2024 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Sep 8, 2008 Accepting new patients

Locations

125 W Main St
Cartersville, GA 30120
Phone (678) 605-1840

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7000 E Broad St
Columbus, OH 43213
Phone (614) 328-0335

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1045 Hill Rd N
Pickerington, OH 43147
Phone (614) 328-0341

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: nina.mallett@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1467617399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "SUITE 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "614-328-0335",
            "fax_number": "614-328-0336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Apache Cir",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812791",
            "country_code": "US",
            "telephone_number": "614-581-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "NINA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.10212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.