Quintella Mallory

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

830389 Issued in TX

Practice address

1999 Bryan St Ste 900
Dallas, TX 75201-3140

Phone

(254) 415-2316

NPI assigned

Jan 14, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: quintella.mallory.1@14883.direct.athenahealth.com

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1730830332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16806 HARBOR FALLS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330179",
            "telephone_number": "254-415-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 BRYAN ST STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013140",
            "telephone_number": "254-415-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "QUINTELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "830389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alka Mallik, M.D.
• Jessica Lynne Mallison, PA-C
• Connie Mallory, LPC
• Dejanira Breona Mallory, OTR
• Mary Margaret Mallory, R.N., PNP
• Jenifer Ranft Mallow, DNP, FNP-BC
• Craig Riggs Malloy, M.D.
• Ellen Therese Malloy, RN,NP
• Carl S. Malmberg, PA-C
• Danielle Malmer, MD

• Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.