Individual provider Active NPI

Cynthia Lee Mallee, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1851549513
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000471 Issued in DE
Practice address
1201 College Park Drive
CMS Route 113
Dover, DE 19904
Phone
(302) 856-5280
NPI assigned
Sep 5, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000471 DE Primary

Addresses

Primary practice location

1201 College Park Drive
CMS Route 113
Dover, DE 19904

Mailing address

363 Misty Vale Dr
Middletown, DE 19709-2125
Phone (320) 376-8629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110114000652 DE Practitioner - Nurse Practitioner 8123217536 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Emergency Physicians LLC CurrentSince Feb 28, 2018 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Feb 28, 2018 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 28, 2018 Accepting new patients
Signify Health, LLC CurrentSince Apr 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1851549513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MISTY VALE DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092125",
            "telephone_number": "320-376-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COLLEGE PARK DRIVE",
            "address_2": "CMS ROUTE 113",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19904",
            "telephone_number": "302-856-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEE",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.