Active NPI
Lori A Mallozzi, LPN. AE-C
- Licensed Practical Nurse
- Providence, RI
National Provider Identifier
1831526201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN08585
- Practice address
- 21 Peace St
Providence, RI 02907-1510 - Phone
- (401) 456-4321
- Fax
- (401) 456-4369
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN08585 | RI | Primary |
Addresses
Primary practice location
21 Peace St
Providence, RI 02907-1510
Mailing address
825 Chalkstone Ave
N. Campus Business Office, Attn: R. Soares
Providence, RI 02908-4728
Phone (401) 456-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPN08585 | Other | RI | LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN08585 | RI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1831526201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CHALKSTONE AVE",
"address_2": "N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084728",
"telephone_number": "401-456-2525",
"fax_number": "401-456-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PEACE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071510",
"telephone_number": "401-456-4321",
"fax_number": "401-456-4369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOZZI",
"first_name": "LORI",
"middle_name": "A",
"credential": "LPN. AE-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "RI",
"license": "LPN08585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "LPN08585",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.