Mynursepractitioner

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MYNURSEPRACTITIONER

Doing business as

mynp.clinic

Practice address

539 W Commerce St # 881
Dallas, TX 75208-1953

Phone

(206) 659-7193

Fax

(949) 655-7898

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Larry D Malone, FNPNPI 1447244132

Title

Nurse Practitioner/Owner

Phone

(206) 659-7193

Specialties & licenses 1

Addresses

Other names 1

• mynp.clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry D Malone, FNP

  • Family Nurse Practitioner
  • Nacogdoches, TX
  • NPI 1447244132
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1871162016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 881",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "206-659-7193",
            "fax_number": "949-655-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 881",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "206-659-7193",
            "fax_number": "949-655-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNURSEPRACTITIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "206-659-7193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mynp.clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Myhre
• Rania Amy Myhre, M.D.
• Myindustries, LLC
• Myint & Horton, P.a.
• Christina M. Myint, M.D.
• Mypathcounseling, PLLC
• Isaac Garth Myres
• Beau Myrick
• Timothy Amon Myrick, LPC, NCC
• Myron H. Watkins, MD PA

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.