Individual provider Active NPI

Mallory Lampson, CCP

  • Perfusionist
  • Fort Meyers, FL
National Provider Identifier
1508775222
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Practice address
2250 McGregor Blvd, Suite 3300
Fort Meyers, FL 33901
Phone
(239) 264-1220
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X Primary

Addresses

Primary practice location

2250 McGregor Blvd, Suite 3300
Fort Meyers, FL 33901

Mailing address

2250 McGregor Blvd, Suite 3300
Fort Meyers, FL 33901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1508775222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 MCGREGOR BLVD, SUITE 3300",
            "city": "FORT MEYERS",
            "state": "FL",
            "postal_code": "33901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MCGREGOR BLVD, SUITE 3300",
            "city": "FORT MEYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-264-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPSON",
        "first_name": "MALLORY",
        "credential": "CCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meyers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.