Active NPI
Mallory Rogers, RN
- Registered Nurse
- Edmonds, WA
National Provider Identifier
1700230240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.RN.61361654
- Practice address
- 9317 244TH St SW Apt P104
Edmonds, WA 98020-6576 - Phone
- (936) 349-7607
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.RN.61361654 | WA | Primary |
Addresses
Primary practice location
9317 244TH St SW Apt P104
Edmonds, WA 98020-6576
Mailing address
9317 244TH St SW Apt P104
Edmonds, WA 98020-6576
Other names 1
- Mallory Gurecki
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.RN.61361654 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Current | Accepting new patients | |
| Pasadena Anesthesia PLLC | Past | Accepting new patients |
Locations
1410 Fry Rd
Houston, TX 77084
Phone (281) 206-2234
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.
-
- Specialist
- Irving, TX
- NPI 1043231400
-
- Certified Registered Nurse Anesthetist
- Pasadena, TX
- NPI 1851001424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1700230240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9317 244TH ST SW APT P104",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980206576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9317 244TH ST SW APT P104",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980206576",
"telephone_number": "936-349-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MALLORY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN.RN.61361654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORY",
"last_name": "GURECKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.