Individual provider Active NPI

Ann Marie Mallory, APRN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1801203948
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN001789 Issued in NV
Practice address
2400 N Tenaya Way Ste 114
Las Vegas, NV 89128-0644
Phone
(702) 608-6495
Fax
(702) 991-6412
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN59162 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001789 NV Primary
Family Nurse Practitioner 363LF0000X APRN001789 NV
Nurse Practitioner 363L00000X APRN001789 NV

Addresses

Primary practice location

2400 N Tenaya Way Ste 114
Las Vegas, NV 89128-0644

Mailing address

2400 N Tenaya Way Ste 114
Las Vegas, NV 89128-0644
Phone (702) 608-6495

Other practice location 1

4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Phone (702) 485-2100

Other names 1

  • Ann Marie Warren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115002083 NV Practitioner - Nurse Practitioner 1456641901 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 Mill St
Suite 100
Reno, NV 89502-1463
Phone (775) 538-6700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Marie Mallory Aprn, PLLC Psychiatric/Mental Health Current Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC CurrentSince Nov 21, 2023 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Oct 31, 2016 Accepting new patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Dec 14, 2022 Accepting new patients
Homebase Care Casal PLLC CurrentSince Dec 14, 2022 Accepting new patients
Medtrans Reno Casal PLLC CurrentSince Dec 14, 2022 Accepting new patients
Homebase Care Casal PLLC CurrentSince Dec 14, 2022 Accepting new patients

Locations

2620 Regatta Dr
Ste 102
Las Vegas, NV 89128
Phone (702) 751-2408

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

5412 Boulder Hwy
Ste B6
Las Vegas, NV 89122

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2716 N Tenaya Way
Fl 5
Las Vegas, NV 89128
Phone (702) 838-2058

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

5412 Boulder Hwy
Las Vegas, NV 89122

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

2400 N Tenaya Way
Ste 114
Las Vegas, NV 89128
Phone (702) 608-6495

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1801203948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280644",
            "telephone_number": "702-608-6495",
            "fax_number": "702-991-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280644",
            "telephone_number": "702-608-6495",
            "fax_number": "702-991-6412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4270 S Decatur Blvd Ste B6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891036802",
            "country_code": "US",
            "telephone_number": "702-485-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "APRN, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN59162",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001789",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001789",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "WARREN",
            "middle_name": "MARIE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.