Mallorie Weis, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3019084 Issued in KY

Practice address

106 Magnolia Dr Ste 200
Georgetown, KY 40324-8129

Phone

(502) 868-0806

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1689362220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MAGNOLIA DR STE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248129",
            "telephone_number": "502-868-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAGNOLIA DR STE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248129",
            "telephone_number": "502-868-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 US 68",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410568772",
            "country_code": "US",
            "telephone_number": "606-564-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIS",
        "first_name": "MALLORIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3019084",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3019084",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3019084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Waters, LMFT
• Erica Webb, PMHNP
• Raymond Wechman Jr., MD
• Wedco District Health Department
• Kellye Ann Wedding, CCC
• Erin Weisenbach, M.S.,CCC-SLP
• Kimberly A Wells, PHARMD
• Caresse Lynnette Wesley, D.O.
• Jasmin Wheeler, APRN
• Kathy Justice Wheeler, PHD, CFNP, MSN

• Nurse Practitioner in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.