Individual provider Active NPI

Mallory Hodge, CPHT

  • Health Educator
  • Loveland, CO
National Provider Identifier
1699475673
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
3780 E 15TH St Ste 102
Loveland, CO 80538-8768
Phone
(970) 461-1975
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X CO Primary

Addresses

Primary practice location

3780 E 15TH St Ste 102
Loveland, CO 80538-8768

Mailing address

5225 White Willow Dr Apt C230
Fort Collins, CO 80528-5056
Phone (970) 413-3155

Other practice location 1

5225 White Willow Dr Apt C230
Fort Collins, CO 80528-5056
Phone (970) 413-3155

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

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699475673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WHITE WILLOW DR APT C230",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285056",
            "telephone_number": "970-413-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 E 15TH ST STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388768",
            "telephone_number": "970-461-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 White Willow Dr Apt C230",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805285056",
            "country_code": "US",
            "telephone_number": "970-413-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MALLORY",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

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