Debra Lynn Mallory, NP, PHD

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71001184A Issued in IN

Practice address

27 E Cresthill Rd
Terre Haute, IN 47802-4985

Phone

(812) 298-1415

Fax

(812) 237-3358

NPI assigned

Dec 20, 2006

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

Other names 1

• Dr. Debra Lynn Luegenbiehl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477617157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST",
            "address_2": "SUITE 101",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071057",
            "telephone_number": "812-238-3800",
            "fax_number": "812-478-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E CRESTHILL RD",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024985",
            "telephone_number": "812-298-1415",
            "fax_number": "812-237-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "NP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71001184A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "LUEGENBIEHL",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "NP, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mahan and Associates, LLC
• Suellyn M Mahan, PH.D
• Sarah Maher, RBT
• Diana Lee Mahurin, MS.,CCC-SLP
• John Paul Maierle, PH.D.
• Chindo Bala Mallum, MD
• Antony A Malo, CRNA
• Erin Kathy Malone, OTR
• Hannah Malone, RBT
• Srinivasarao Malyala, M.D.

• Women's Health Nurse Practitioner in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.