Individual provider Active NPI

Taylor Mallory, FNP

  • Family Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1952292906
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0104619-C-NP Issued in CO
Practice address
7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone
(303) 738-1136
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 C-APN.0104619-C-NP CO Primary

Addresses

Primary practice location

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002

Mailing address

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 738-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250828002924 CO Practitioner - Nurse Practitioner 5294236568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

15132 E Hampden Ave
Suite G
Aurora, CO 80014-5038
Phone (303) 360-6276

2152 E 88TH Ave
Thornton, CO 80229-5023
Phone (303) 227-0400

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 360-6276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0104619-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Metro Community Provider Network Inc CurrentSince Jul 7, 2025 Accepting new patients
Metro Community Provider Network Inc Past Accepting new patients

Locations

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1952292906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W 29TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800338002",
            "telephone_number": "303-738-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W 29TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800338002",
            "telephone_number": "303-738-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "TAYLOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0104619-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.