Mallory Nicole Markis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011494 Issued in CA

Practice address

130 Cedar Rd
Vista, CA 92083-5102

Phone

(858) 927-5527

NPI assigned

Jun 24, 2019

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1780245449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10656 MIRA LAGO TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312382",
            "telephone_number": "216-533-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CEDAR RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835102",
            "telephone_number": "858-927-5527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 Aero Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231743",
            "country_code": "US",
            "telephone_number": "714-657-6487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKIS",
        "first_name": "MALLORY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhuri Marelli, P.A.
• Yvonne Darlene Marino, COUNSELOR
• Mark C. O'Brien, D.O., Inc.
• Mark Elliott and Debra Elliott Chiropractic Inc
• Rachelle Markham, IBCLC
• William Akin Marks, MD
• Brandon G Markwell, DPT
• Macy Marohnic, MFT
• Melisa Marquez
• Laura Jean Marsh, MSW

• Family Nurse Practitioner in Vista, CA
• Providers in Vista, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.