Individual provider Active NPI

Megan Mallamaci, APRN

  • Acute Care Nurse Practitioner
  • Austin, TX
National Provider Identifier
1710568712
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1033629 Issued in TX
Practice address
2109 E 8TH St Unit a
Austin, TX 78702-3433
Phone
(214) 223-6362
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1033629 TX Primary

Addresses

Primary practice location

2109 E 8TH St Unit a
Austin, TX 78702-3433

Mailing address

2109 E 8TH St Unit a
Austin, TX 78702-3433
Phone (214) 223-6362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001046 TX Practitioner - Nurse Practitioner 2860895901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. David's Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Aug 8, 2021 Accepting new patients
Neurotexas, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Interoperability endpoints

  • Direct secure messaging: megan.mallamaci@hca8.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1710568712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 E 8TH ST UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023433",
            "telephone_number": "214-223-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 E 8TH ST UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023433",
            "telephone_number": "214-223-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAMACI",
        "first_name": "MEGAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1033629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.