Active NPI
Allison M Mallowe, MA, RD, LDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1609439595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 123 S Broad St Ste 1641
Philadelphia, PA 19109-1027 - Phone
- (347) 474-9019
- NPI assigned
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
123 S Broad St Ste 1641
Philadelphia, PA 19109-1027
Mailing address
200 Chestnut Ave
Narberth, PA 19072-2406
Phone (610) 247-0800
Other practice location 1
4261A Ridge Ave
Philadelphia, PA 19129-1748
Phone (374) 474-9019
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1609439595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CHESTNUT AVE",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722406",
"telephone_number": "610-247-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S BROAD ST STE 1641",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191091027",
"telephone_number": "347-474-9019"
}
],
"practiceLocations": [
{
"address_1": "4261A Ridge Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191291748",
"country_code": "US",
"telephone_number": "374-474-9019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLOWE",
"first_name": "ALLISON",
"middle_name": "M",
"credential": "MA, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.