Mallory G Tallmadge, MSN, RN, ACCNS-AG

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

CS00131 Issued in MD

Practice address

29 S Greene St
Baltimore, MD 21201-1504

Phone

(410) 328-2864

NPI assigned

Sep 2, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: mallory.reimers@umm.edu

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1821766908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 SALEM CHURCH RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011504",
            "telephone_number": "410-328-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMADGE",
        "first_name": "MALLORY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MD",
            "license": "CS00131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mallory.Reimers@umm.edu",
            "affiliation": "Y",
            "affiliationName": "University of Maryland Medical System",
            "address_1": "22 S Greene St",
            "address_2": "Emergency Department",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212011544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mikhael Taller, M.D.
• Andrew Talley
• Catherine Talley, LCSW-C
• Deborah Ann Talley, CRNP
• Melanie Talley, CRNP
• Jordan Tallman
• Sindhura Talluri, M.D.
• Saimanoja Talluru
• Shalmali Talwalkar, PT
• Reshmi Talwar

• Acute Care Clinical Nurse Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Acute Care Clinical Nurse Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.