Active NPI
Karen Malle
- Hearing Instrument Specialist
- Bridgeton, MO
National Provider Identifier
1558777631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- MO2005008962
- Practice address
- 12258 Saint Charles Rock Rd
Bridgeton, MO 63044-2501 - Phone
- (314) 766-2064
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | MO2005008962 | MO | Primary |
Addresses
Primary practice location
12258 Saint Charles Rock Rd
Bridgeton, MO 63044-2501
Mailing address
10 Summer Pointe CT
O Fallon, MO 63366-6310
Phone (636) 795-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO2005008962 | MO | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1558777631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SUMMER POINTE CT",
"city": "O FALLON",
"state": "MO",
"postal_code": "633666310",
"telephone_number": "636-795-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12258 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442501",
"telephone_number": "314-766-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLE",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "MO2005008962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.