Carol Mallory, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN000968 Issued in NV

Practice address

1231 Country Club Dr
Carson City, NV 89703-8372

Phone

(775) 884-3990

Fax

(775) 884-2202

NPI assigned

Nov 24, 2008

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

Practice roles

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.

• The Nevada Center

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1972901320
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1821243486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 COUNTRY CLUB DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038372",
            "telephone_number": "775-884-3990",
            "fax_number": "775-884-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 COUNTRY CLUB DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038372",
            "telephone_number": "775-884-3990",
            "fax_number": "775-884-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "CAROL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Ann Maheux, M.A., MFT
• Erik J. Maki, M.D.
• Kristen Ann Malen, M.S.
• Eric Malkuch
• Lena M Mallant, OT
• Kandy Malterer
• Paul Douglas Manoukian, M.D., M.P.H
• Lauren Manwaring
• Sarah Maples
• Nicole Mara

• Nurse Practitioner in Carson City, NV
• Providers in Carson City, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.