Mallory Anne Ventsam

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

511 66TH St N
St Petersburg, FL 33710-6939

Phone

(727) 498-8544

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1932540416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 PORTMARNOCK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565416",
            "telephone_number": "813-787-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106939",
            "telephone_number": "727-498-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTSAM",
        "first_name": "MALLORY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Velasquez, M.D.
• Sherrilyn Velez, ARNP
• Richard Vellucci, PHARMD
• Venado Emergency Physicians LLC
• Angela Venda
• Kelly Venuti, LMHC
• Maria Jose Vera Sanchez
• Andrea Veramendi
• Esther Marie Verderico, ARNP
• Savannah Vereen, DPT

• Specialist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.