MALLORY E. HARRIS (NPI# 1033519830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033519830 |
| Entity Type | Individual |
| Full Name | MALLORY E. HARRIS |
| Credential | PA |
| Practice Address |
3751 W Main St Independence KS 67301-8446 |
| Mailing Address |
Po Box 688 Independence KS 67301-0688 |
| Practice Telephone | 6203311748 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-01717 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295225357 | Mallory Kay Harris | Optometrist | 817 N 12th St, Murray, KY 42071-1648 | 2018-05-15 |
| 1447897491 | Mallory Harris | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2019-12-09 |
| 1801353081 | Mallory B Harris | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2019-02-25 |
| 1841724515 | Mallory Harris | Student in an Organized Health Care Education/Training Program | 123 Hendersonville Rd, Asheville, NC 28803-2868 | 2017-04-19 |
| Street Address |
3751 W MAIN ST |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-8446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290251 | Four County Mental Health Center Inc | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2005-07-28 |
| 1417554080 | Lauren Mautz | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-10-06 |
| 1437766946 | Hernan Ensaldo Diaz | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-09-29 |
| 1861008633 | Rhyder Bruce | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-09-17 |
| 1083257943 | Rachel Whitmore | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2019-10-23 |
| 1619522851 | Kimberly Kennedy | Counselor | 3751 W Main St, Independence, KS 67301-8446 | 2019-08-05 |
| 1497315055 | Kendra Alford | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2019-06-17 |
| 1306327572 | Christina Tinsley | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2018-08-27 |
| 1083195309 | Meegan Dodson | Registered Nurse | 3751 W Main St, Independence, KS 67301-8446 | 2018-08-24 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1811205214 | Johnathan A Rodriquez | Nurse Practitioner | 1415 N Penn Ave, Independence, KS 67301 | 2010-09-20 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1295259588 | Lindsey Grant | Physician Assistant | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2017-07-28 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1649725714 | Lacey Elizabeth Perez | Physician Assistant | 19600 E 39th St S, Independence, MO 64057-2301 | 2016-08-18 |
| 1083092514 | Shelly Wimmer | Physician Assistant | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-05-17 |
| 1942569215 | Stephen Daniel Miller | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2303 | 2012-05-08 |
| 1912288960 | Susan Winterhalter Decker | Physician Assistant | 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 | 2011-09-05 |
| 1730415597 | Emily M Hennes | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2303 | 2009-10-28 |
| 1205075249 | Tangipahoa Emergency Group LLC | Physician Assistant | 52579 Highway 51 S, Independence, LA 70443-2231 | 2009-02-16 |
| 1902097751 | Marymount Primary Care Services, Inc. | Physician Assistant | 6701 Rockside Rd, Suite 260, Independence, OH 44131-2358 | 2007-08-07 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
Please comment or provide details below to improve the information on MALLORY E. HARRIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.