Mallory Elaine Knott, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Aurora, CO
NPI 1477049864 · NPPES record last updated Jul 9, 2018
Key facts
- NPI
- 1477049864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN.0993971-NP (CO)
- Practice address
- 13650 E Mississippi Ave
Aurora, CO 80012-3561 - Phone
- (303) 695-1338
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180830002551 | CO | Practitioner - Nurse Practitioner | 5799035465 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Colorado-Professional, LLC | Current |
Accepting new patients | |
| Healogics Specialty Physicians of Colorado-Professional, LLC | Current |
Accepting new patients | |
| Carebridge Medical Group | Family | Past | Accepting new patients |
Locations
9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0993971-NP | CO | Yes |
Addresses
Primary practice location
13650 E Mississippi Ave
Aurora, CO 80012-3561
Mailing address
290 S Clarkson St
Denver, CO 80209-2124
Phone (913) 624-4343
Other providers in Aurora, CO
- Victoria Lee Knoll
- Lindsay Ann Knorr
- Breda Victoria Knott
- Katherine Lindsey Knott
- Kemp Timothy Francis Knott
- Reilley McFarland Knott
- Kathleen S. Knotts
- Hanah Marie Knowlden
- Julianne R. Knowles
- Mary Heather Knowles
All providers in Aurora, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.