MS. KATHLEEN ANNE MALLIARAKIS (NPI# 1053313189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053313189 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ANNE MALLIARAKIS |
| Credential | RN, CNP |
| Practice Address |
3925 N Abingdon St Arlington VA 22207-2919 |
| Practice Telephone | 7032377303 |
| Practice Fax Number | 7032377304 |
| Mailing Telephone | 7032377303 |
| Mailing Fax Number | 7032377304 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024138992 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3925 N ABINGDON ST |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22207-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820383 | Myrna Carlin Del Olivar | Dentist | Santa Rosalia 20380, Ste 3, Tijuana, BAJA CALIFORNIA 22207 | 2017-09-18 |
| 1770937617 | Jennifer Claire Gagnon | Nurse Practitioner | 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207 | 2016-04-18 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1508121856 | Ashanti Sade Fludd | Home Health Aide | 5010 22nd Street, North Arlington, VA 22207 | 2012-07-11 |
| 1619204609 | Nathaniel Thomas Connally Jr. | Internal Medicine | 3563 N. Abingdon St., Arlington, VA 22207 | 2009-11-11 |
| 1548421076 | Physical Therapy Health Center | Clinic/Center | 5312 N 36th St, Arlington, VA 22207 | 2008-06-18 |
| 1770784415 | Edmund Russell Lynn Jr. | Social Worker | 6033 Little Falls Rd, Arlington, VA 22207 | 2007-05-30 |
| 1053520494 | Deborah Cusick Defranco | Specialist/Technologist | 1426 North Quincy Street, Arlington, VA 22207 | 2007-05-22 |
| 1316081284 | Denise E Bruner Md & Assoc PC | Internal Medicine | 5015 Lee Highway, Suite 201, Arlington, VA 22207 | 2007-02-16 |
| 1740340751 | Albert John Kalil | Psychologist | 4635 14th St North, Arlington, VA 22207 | 2006-12-11 |
| Find all providers in zip 22207 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780216143 | Lakeidre Davis | Nurse Practitioner | 4225 Wingrove Dr, Arlington, TX 76015-4524 | 2020-02-04 |
| 1184277907 | Colleen Claire Slagen | Nurse Practitioner | 29 Trowbridge St, Arlington, MA 02474-5516 | 2019-07-21 |
| 1134621683 | Ntombizodwa Sayi | Nurse Practitioner | 1225 Harris Hawk Way, Arlington, TX 76005 | 2018-03-01 |
| 1003278615 | Donna Green | Nurse Practitioner | 615 East Abrams, Arlington, TX 76010 | 2016-03-23 |
| 1356684401 | Claudia Mary Atherton | Nurse Practitioner | 1625 North George Mason Dr., Virginia Hospital Center, Arlington, VA 22205-3698 | 2013-03-27 |
| 1609198936 | Yonah Knuckles | Nurse Practitioner | 1212 Ruthella Dr, Arlington, TX 76010-3530 | 2010-03-01 |
| 1063669893 | Mahalia L Jackson-butler | Nurse Practitioner | 4621 S Cooper St Ste 131-717, Arlington, TX 76017-5866 | 2008-08-22 |
| 1083882591 | Sue A Piller | Nurse Practitioner | 7244 Collierville Arlington Rd, Arlington, TN 38002-9511 | 2008-02-19 |
| 1497961973 | Jennifer Pitts King | Nurse Practitioner | 1635 N George Mason Dr Ste 490, Arlington, VA 22205-3671 | 2007-05-14 |
| 1750921391 | Cheyenne Lakota Pagel | Nurse Practitioner | 800 W Arbrook Blvd, Arlington, TX 76015-4327 | 2020-01-12 |
| Find all providers in ARLINGTON | ||||
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| 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.