Kieara Mallory

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

9648548 Issued in FL

Practice address

7597 Saddlebrook Ave
Pace, FL 32571-9854

Phone

(931) 220-1607

NPI assigned

Jul 10, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1629996152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7597 SADDLEBROOK AVE",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7597 SADDLEBROOK AVE",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719854",
            "telephone_number": "931-220-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "KIEARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9648548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Scott Lowrimore, M.A.
• Leisa Dianne Ludlam, PH.D
• Nancy C Mackenzie, D.C.
• Brittany Mackey, OTR/L
• Teresa Ann Mahaffey, MD
• Jeannie Lynn Manke, ED.S.
• Madison Manners
• Coleman Lee Marcus, RN
• Lori Michell Martin
• Nikki Martin, M.S. CCC-SLP

• Women's Health Nurse Practitioner in Pace, FL
• Providers in Pace, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.