Individual provider Active NPI

Mallory Barnett, NP-C

  • Adult Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1790221083
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP132580 Issued in TX
Practice address
21800 Katy Fwy Ste 200
Katy, TX 77449-7780
Phone
(713) 771-1100
Fax
(713) 771-1545
NPI assigned
Jan 11, 2017
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP132580 TX Primary

Addresses

Primary practice location

21800 Katy Fwy Ste 200
Katy, TX 77449-7780

Mailing address

21800 Katy Fwy Ste 200
Katy, TX 77449-7780
Phone (713) 771-1100

Other practice location 1

18400 Katy Fwy
Ste 390
Houston, TX 77094-1286
Phone (713) 464-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132580TXMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1790221083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497780",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497780",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18400 Katy Fwy",
            "address_2": "Ste 390",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941286",
            "country_code": "US",
            "telephone_number": "713-464-2100",
            "fax_number": "281-392-2032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MALLORY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP132580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.