Mallory Ralph, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0037492 Issued in OH

Practice address

9600 Montgomery Rd Ste E
Montgomery, OH 45242-7246

Phone

(513) 614-5420

NPI assigned

Sep 19, 2024

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

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Kentucky Pain Relief Physical Medicine Center PSCGroup PAC ID 3375718984, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Kentucky Pain Relief Physical Medicine Center PSC

  • Nurse Practitioner
  • Florence, KY
  • NPI 1649554031

  Family, KY

  Medicare reassignment Care Compare group NPD
• Neck Back & Knee Center II PSC

  • Nurse Practitioner
  • Florence, KY
  • NPI 1003593401

  Family, KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1871320101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MONTGOMERY RD STE E",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427246",
            "telephone_number": "513-614-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MONTGOMERY RD STE E",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427246",
            "telephone_number": "513-614-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALPH",
        "first_name": "MALLORY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Virginia Purtell, LMT
• Quotient Health
• Nicole Kay Raffel, CNP
• M Kenan Safouh Rahima, MD
• Julia Kathryn Raleigh, MD
• James Scott Ramey
• Scott Matthew Rawlings, APRN, CNP
• Amalia Hayes Reckziegel
• Rachel M Redmond, LISW
• Andrea Reed

• Family Nurse Practitioner in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.