Mallory Vensko, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704377239 Issued in MI

Practice address

17471 McNamara Dr
Livonia, MI 48152-3113

Phone

(734) 788-5732

NPI assigned

Jul 24, 2025

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1972485399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17471 MCNAMARA DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17471 MCNAMARA DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523113",
            "telephone_number": "734-788-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENSKO",
        "first_name": "MALLORY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704377239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cranmer Veling, MSW, LMSW, CAC 1 SAP
• Carie Marie Vella, LMSW
• Vellore R Ramakrishnan M.D, P.C. (Vascular Associates of Michigan PC..)
• Deepthi Vemuri, D.D.S.
• Emily R Venneri, CCP
• Maria Fernanda Vera-Barba
• Sebastien Paul-Pierre Verdoux
• Sidhant Verma, M.B.B.S.
• Scott Verner
• Diane C Vernon, PHARM. D.

• Registered Nurse in Livonia, MI
• Providers in Livonia, MI by specialty
• Registered Nurse in Michigan

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