Active NPI
Julie Lynn Malloch, RN, IBCLC
- Women's Health Nurse Practitioner
- East Lansing, MI
National Provider Identifier
1750837845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 4704285480
- Practice address
- 1560 Turf LN
East Lansing, MI 48823-6392 - Phone
- (517) 484-3000
- Fax
- (517) 484-6358
- NPI assigned
- Aug 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 4704285480 | MI | |
| Women's Health Nurse Practitioner | 363LW0102X | 4704285480 | MI | Primary |
Addresses
Primary practice location
1560 Turf LN
East Lansing, MI 48823-6392
Mailing address
1560 Turf LN
East Lansing, MI 48823-6392
Phone (517) 484-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ww.alliance-obgyn.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1560 Turf LN
East Lansing, MI 48823-6392
Phone (517) 484-3000
Hospital & facility affiliations
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704285480 | MI | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- julie.malloch.1@26060.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1750837845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 TURF LN",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 TURF LN",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOCH",
"first_name": "JULIE",
"middle_name": "LYNN",
"credential": "RN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MI",
"license": "4704285480",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704285480",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ww.alliance-obgyn.com",
"affiliation": "N",
"address_1": "1560 Turf Ln",
"city": "East Lansing",
"state": "MI",
"country_code": "US",
"postal_code": "488236392",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.