Mallorye Ann Bane, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.1665815 Issued in CO

Practice address

106 W North St
Cortez, CO 81321-3119

Phone

(970) 565-3056

Fax

(970) 565-0647

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montezuma County Health Department

  • Public Health or Welfare Agency
  • Cortez, CO
  • NPI 1114918000
  NPD (past)
• Montezuma County Health Department

  • Public Health or Welfare Agency
  • Cortez, CO
  • NPI 1518897602
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1962028910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-565-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-565-3056",
            "fax_number": "970-565-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANE",
        "first_name": "MALLORYE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1665815",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CO",
            "license": "RN.1665815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ayers, LMT
• B&H General Contracting
• Douglas Roy Bagge, MD
• Erica Whipple Baker, CACII
• Leighellen Bane, LCSW, LAC
• Hope K Barkhurst, M.D.
• Kari Michelle Barnard, MD
• Katie Elena Baron, DDS
• Sara Barrett, LCSW
• Pamela Bartsch, BCBA

• Registered Nurse in Cortez, CO
• Providers in Cortez, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.