Dyan M Mallette, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

333467 Issued in NY

Practice address

9 Miner St
Canton, NY 13617-1208

Phone

(315) 386-8821

Fax

(315) 386-4723

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Planned Parenthood of Central and Western New York, Inc

  • Ambulatory Family Planning Facility
  • Rochester, NY
  • NPI 1306909957
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1669502662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WRIGHT CAMP DR",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694223",
            "telephone_number": "315-393-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MINER ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171208",
            "telephone_number": "315-386-8821",
            "fax_number": "315-386-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "DYAN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook Wade Madlin, RPH
• Mallorie Maguire
• Laurie Maki, RN
• Hamza Tarek Malek, M.D.
• Claire Marie Mallette
• Desirae Marie Malone, CRPA-P
• Maplewood Physical Therapy PLLC
• Ruthann M Matthews, CASAC
• Shannon Marie Mayette
• Sebastian Angelo Mazzotta, M.D.

• Family Nurse Practitioner in Canton, NY
• Providers in Canton, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.