Mallory J Page, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86091025 Issued in TX

Practice address

1630 E 6TH St Apt 1409
Austin, TX 78702-0054

Phone

(720) 438-5289

NPI assigned

Dec 3, 2020

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

State licenses

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1487259727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E 6TH ST APT 1409",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787020054",
            "telephone_number": "720-438-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 6TH ST APT 1409",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787020054",
            "telephone_number": "720-438-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MALLORY",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86091025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Kathleen Page
• Bruce P. Page, MD
• Jefrey Page, LPC
• Jenifer Page, ACNP
• Lisa E Page, LPC
• Robin L Page, R.N.,C.N.M.
• Taylor D. Page, LMFT
• Titan Page, LPC-ASSOCIATE
• Karen Pagel
• Paul R Pagley, MD

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.