Active NPI
Kayla R Malone, RN
- Registered Nurse
- Youngstown, OH
National Provider Identifier
1649721952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.479300
- Practice address
- 550 W Chalmers Ave
Youngstown, OH 44511-1576 - Phone
- (330) 797-0070
- NPI assigned
- Oct 21, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 479300 | OH | |
| Licensed Practical Nurse | 164W00000X | 132761 | OH | |
| Licensed Practical Nurse | 164W00000X | LPN.132761.MEDS-IV | OH | |
| Registered Nurse | 163W00000X | RN.479300 | OH | Primary |
Addresses
Primary practice location
550 W Chalmers Ave
Youngstown, OH 44511-1576
Mailing address
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 479300 | OH | MD | Registered Nurse |
| RN.479300 | OH | MD | Registered Nurse |
| 132761 | OH | MD | Licensed Practical Nurse |
| LPN.132761.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Recovery of Warren LLC | Past | Accepting new patients | |
| First Step Recovery of Warren LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Warren, OH
- NPI 1255736450
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, OH
- NPI 1346120979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1649721952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 N MERIDIAN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445091227",
"telephone_number": "330-797-0070",
"fax_number": "330-797-9146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W CHALMERS AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445111576",
"telephone_number": "330-797-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "KAYLA",
"middle_name": "R",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "479300",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "132761",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.132761.MEDS-IV",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.479300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.