Active NPI
Mallory Sotelo
- Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1922926146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11048935
- Practice address
- 3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470 - Phone
- (813) 987-9700
- NPI assigned
- Jul 7, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11048935 | FL | Primary |
Addresses
Primary practice location
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Mailing address
853 Millbridge Dr
Panama City Beach, FL 32413-2291
Other practice location 1
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174
Other practice location 2
1002 N Arnold Rd
Panama City Beach, FL 32413-2523
Phone (850) 877-8147
Other practice location 3
2011 Harrison Ave
Panama City, FL 32405-4545
Phone (850) 691-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1922926146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 MILLBRIDGE DR",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324132291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "813-987-9700"
}
],
"practiceLocations": [
{
"address_1": "2605 Welaunee Blvd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084697",
"country_code": "US",
"telephone_number": "850-877-8174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1002 N Arnold Rd",
"address_purpose": "LOCATION",
"city": "Panama City Beach",
"state": "FL",
"postal_code": "324132523",
"country_code": "US",
"telephone_number": "850-877-8147",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324054545",
"country_code": "US",
"telephone_number": "850-691-4188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTELO",
"first_name": "MALLORY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-07",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11048935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.