Kelly Ann Malloy

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA200055 Issued in LA

Practice address

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906

Phone

(337) 989-6797

Fax

(337) 989-6759

NPI assigned

May 7, 2009

Last updated

May 7, 2009By the provider in NPPES

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

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1740414614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RIVERBIRCH DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081819",
            "telephone_number": "337-950-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-989-6797",
            "fax_number": "337-989-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA200055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Y'Mine M. McClanahan Malik, DNP, APRN, FNP-C
• Jennifer Kent Malin, MD
• Chinazo Malizu, RN
• Maria Mallett
• Mallory Adams Counseling, LLC
• Iris A Malone, FNP
• William Michael Malone, D.D.S.
• Maloney Counseling LLC
• Michelle Ann Maloney, L.C.S.W.
• Amanda Malveaux

• Occupational Therapy Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.