Active NPI
Nancy Niehoff Malone, FNP
- Family Nurse Practitioner
- Grants Pass, OR
National Provider Identifier
1992950984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 079044252N1FNPPP
- Practice address
- 500 SW Ramsey Ave
Grants Pass, OR 97527-5554 - Phone
- (541) 472-7376
- Fax
- (541) 472-7377
- NPI assigned
- Nov 18, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 079044252N1FNPPP | OR | Primary |
Addresses
Primary practice location
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Mailing address
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240361 | Medicaid | OR | |
| 109423 | Other | OR | MEDICARE PART B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079044252N1FNPPP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1992950984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275554",
"telephone_number": "541-472-7376",
"fax_number": "541-472-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275554",
"telephone_number": "541-472-7376",
"fax_number": "541-472-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "NANCY",
"middle_name": "NIEHOFF",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "079044252N1FNPPP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240361",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "109423",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.