Active NPI
Pamela Malo
- Registered Dietitian
- Bainbridge Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 345 Knechtel Way NE Ste 111
Bainbridge Island, WA 98110-2834 - Phone
- (518) 339-2593
- NPI assigned
- Jul 15, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT89445 | TX | |
| Registered Dietitian | 133V00000X | DI60736151 | WA | |
| Registered Dietitian | 133V00000X | VA | ||
| Registered Dietitian | 133V00000X | L0077944 | NC | |
| Registered Dietitian | 133V00000X | ND13141 | FL | |
| Registered Dietitian | 133V00000X | AZ | ||
| Registered Dietitian | 133V00000X | LD006943 | GA | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
345 Knechtel Way NE Ste 111
Bainbridge Island, WA 98110-2834
Mailing address
271 Winslow Way E Unit 10295
Bainbridge Island, WA 98110-9968
Other practice location 1
200 Perimeter Park Dr Ste C
Morrisville, NC 27560-9714
Phone (206) 895-4292
Other practice location 2
828 Healthy Way Ste 330
Virginia Beach, VA 23462-7959
Phone (206) 895-4292
Other practice location 3
6100 Harris Pkwy Ste 140
Fort Worth, TX 76132-4130
Phone (206) 895-4292
Other practice location 4
655 E River Rd Unit 201
Tucson, AZ 85704-5853
Phone (206) 895-4292
Other practice location 5
5323 4th Avenue Cir E
Bradenton, FL 34208-5623
Phone (206) 895-4292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL, NC, VA, TX, SC, MI
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632
200 Perimeter Park Dr
Suite C
Morrisville, NC 27560-9714
Phone (919) 589-2520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND13141 | FL | MD | Registered Dietitian |
| LD006943 | GA | MD | Registered Dietitian |
| L0077944 | NC | MD | Registered Dietitian |
| DT89445 | TX | MD | Registered Dietitian |
| DI60736151 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Current | Accepting new patients | |
| Uwh of the Carolinas, PLLC | Current | Accepting new patients | |
| Pamela Malo PLLC | Dietitian, Registered | Current | Accepting new patients |
| Genesis OB GYN PLLC | Current | Accepting new patients | |
| Uwh of Michigan PLC | Current | Accepting new patients | |
| Unified Women's Healthcare of Texas PLLC | Current | Accepting new patients | |
| Mid-Atlantic Womens Care PLC | Current | Accepting new patients | |
| Metro Partners in Womens Health, PC | Past | Accepting new patients |
Locations
1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573
2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549
6261 N La Cholla Blvd
Ste 277
Tucson, AZ 85741
Phone (520) 694-6800
655 E River Rd
Unit 201
Tucson, AZ 85704
Phone (206) 895-4292
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
5323 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 745-5115
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814
1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000
200 Perimeter Park Dr
Ste C
Morrisville, NC 27560
Phone (206) 895-4292
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
5801 Postal Rd
Unit 81847
Cleveland, OH 44181
Phone (561) 849-3534
1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700
1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415
6100 Harris Pkwy
Ste 140
Ft Worth, TX 76132
Phone (206) 895-4292
844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890
828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292
271 Winslow Way E
Unit 10295
Bainbridge Island, WA 98110
345 Knechtel Way NE
Ste 111
Seattle, WA 98110
Phone (206) 720-6155
Interoperability endpoints
- https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Obstetrics & Gynecology Physician
- Tucson, AZ
- NPI 1992994214
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1699365072
-
- Obstetrics & Gynecology Physician
- Addison, TX
- NPI 1952703373
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
-
dba Northstar Nutrition
- Registered Dietitian
- Bainbridge Island, WA
- NPI 1063274108
Dietitian, Registered
-
dba Metro Partners in Women's Health
- Obstetrics & Gynecology Physician
- Novi, MI
- NPI 1083601082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1639721046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 WINSLOW WAY E UNIT 10295",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981109968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 KNECHTEL WAY NE STE 111",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102834",
"telephone_number": "518-339-2593"
}
],
"practiceLocations": [
{
"address_1": "200 Perimeter Park Dr Ste C",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "NC",
"postal_code": "275609714",
"country_code": "US",
"telephone_number": "206-895-4292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "828 Healthy Way Ste 330",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234627959",
"country_code": "US",
"telephone_number": "206-895-4292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Harris Pkwy Ste 140",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761324130",
"country_code": "US",
"telephone_number": "206-895-4292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 E River Rd Unit 201",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857045853",
"country_code": "US",
"telephone_number": "206-895-4292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5323 4th Avenue Cir E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342085623",
"country_code": "US",
"telephone_number": "206-895-4292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALO",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT89445",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60736151",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L0077944",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND13141",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD006943",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.