Ellen Therese Malloy, RN,NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

435024 Issued in TX

Practice address

2922 Martin Luther King Jr Blvd
Building B
Dallas, TX 75215-2321

Phone

(214) 426-3645

Fax

(214) 426-2231

NPI assigned

Sep 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ellen.malloy.1@17669.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas County Mental Health & Mental Retardation Center

  dba Metrocare Services

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1023239886
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811094493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 DARVANY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752201614",
            "telephone_number": "214-351-2356",
            "fax_number": "214-426-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 MARTIN LUTHER KING JR BLVD",
            "address_2": "BUILDING B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152321",
            "telephone_number": "214-426-3645",
            "fax_number": "214-426-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "ELLEN",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "RN,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "435024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "435024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dejanira Breona Mallory, OTR
• Mary Margaret Mallory, R.N., PNP
• Quintella Mallory
• Jenifer Ranft Mallow, DNP, FNP-BC
• Craig Riggs Malloy, M.D.
• Carl S. Malmberg, PA-C
• Danielle Malmer, MD
• Cassie Rochelle Malone
• Linda J. Malone, PNP
• Lisa Dawn Malone, RN

• Women's Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.