Donna Marie Mallory, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201000649 Issued in VA

Practice address

2002 Orange Rd
Suite 105
Culpeper, VA 22701-4170

Phone

(540) 829-9005

Fax

(540) 829-9056

NPI assigned

Oct 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Culpeper Medical Associates, LLC

  • Multi-Specialty Clinic/Center
  • Culpeper, VA
  • NPI 1003853920
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1639169717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ORANGE RD",
            "address_2": "SUITE 105",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ORANGE RD",
            "address_2": "SUITE 105",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014170",
            "telephone_number": "540-829-9005",
            "fax_number": "540-829-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000649",
            "primary": true
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "VA",
            "license": "2101001248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010332371",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethel Lukong
• Madison Pediatric Therapy
• Sushant Mahajan, D.M.D., M.S
• Ali Mahjoub, M.D.
• Maria Emilia Malcolm, PA-C
• James Mapp III
• Isabella Masi
• Ian Masson, LPC
• Caitlin Michele Matzke, AG-ACNP
• Evelyn Andrea May Gonzalez, M.D.

• Audiologist in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.