Individual provider Active NPI

Melanie Mallamo, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1568224764
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029519 Issued in FL
Practice address
15084 Lyons Rd Ste 550
Delray Beach, FL 33446-9789
Phone
(561) 336-9671
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029519 FL Primary

Addresses

Primary practice location

15084 Lyons Rd Ste 550
Delray Beach, FL 33446-9789

Mailing address

604 Sealofts Dr Apt 110
Boynton Beach, FL 33426-3714
Phone (954) 937-1029

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

LicenseStateTypeSpecialty
APRN11029519FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1568224764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SEALOFTS DR APT 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263714",
            "telephone_number": "954-937-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15084 LYONS RD STE 550",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469789",
            "telephone_number": "561-336-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAMO",
        "first_name": "MELANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.