MALLORY B MARTIN


Address: 2417 Nw 174th St, Edmond, OK 73012-7108
Phone: 4052556706

MALLORY B MARTIN (NPI# 1073154787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073154787
Entity Type Individual
Full Name MALLORY B MARTIN
Practice Address 2417 Nw 174th St
Edmond
OK 73012-7108
Practice Telephone 4052556706
Mailing Telephone 4052556706
Enumeration Date 2019-10-03
Last Update Date 2019-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 113578 OK Nursing Service Providers

Other Providers MALLORY MARTIN

NPI Name Taxonomy Address Enumeration
1295207132 Mallory L Martin Physical Therapy Assistant 2300 S Oak Grove Rd, Ennis, TX 75119-6841 2018-12-17
1619372018 Mallory Martin Behavior Technician 2624 Hough Rd, Florence, AL 35630-1747 2014-10-28
1720374861 Mallory Bishop Martin Speech-Language Pathologist 2424 Double Churches Rd, Columbus, GA 31909-2741 2011-06-28

Office Location

Street Address 2417 NW 174TH ST
City EDMOND
State OK
Zip Code 73012-7108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962013912 Ashley Lambert Counselor 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 2020-08-13
1699316083 First Rate Eye Care Pllc Optometrist 1140 Nw 192nd St., Suite A, Edmond, OK 73012 2019-10-07
1659869881 Brent Byers Registered Nurse 3040 Nw 179th Ct, Edmond, OK 73012 2018-04-24
1386173672 John A Hale Respiratory Therapist, Certified 19100 Meadows Crossing Drive, Edmond, OK 73012 2017-06-08
1740715598 Ryan Hays Counselor 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 2017-04-28
1245691336 Jessica Collins Behavioral Analyst 18217 Sandhurst Ct, Edmond, OK 73012 2016-03-16
1538545801 Cynthia Ann Thompson Case Manager/Care Coordinator 1732 Kelly, Edmond, OK 73012 2015-08-10
1538564224 Function Physical Therapy, LLC Physical Therapist 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 2014-10-24
1003227414 Deer Creek Family Healthcare and Wellness Clinic LLC Clinic/Center 19401 N. Portland, Edmond, OK 73012 2014-05-20
1316383649 Ralphs Family Pharmacy Inc Durable Medical Equipment & Medical Supplies 1101 Nw178th Street, Suite A, Edmond, OK 73012 2013-05-14
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679180699 Whitney Michelle Simmons Registered Nurse 2109 Silver Fox Dr, Edmond, OK 73003-6231 2020-09-24
1760027379 Natalie Downing Registered Nurse 408 Outer Banks Way, Edmond, OK 73034-7563 2019-11-07
1053887620 Aurora Munoz Registered Nurse 3813 Anadarko, Edmond, OK 73013-7729 2018-10-22
1659869881 Brent Byers Registered Nurse 3040 Nw 179th Ct, Edmond, OK 73012 2018-04-24
1588175780 Jaime Lynn Cherry Registered Nurse 15616 Hatterly Ln, Edmond, OK 73013-4181 2017-10-16
1891205209 Terrie Lynn Terrell Registered Nurse 5713 Northwood Dr, Edmond, OK 73034-9228 2017-10-11
1629504683 Becky Pata Registered Nurse 1901 W Glen Eagle, Edmond, OK 73025-1540 2017-05-11
1679008981 Hannah Rae Sellers Registered Nurse 2133 E 2nd St, Apt 10103, Edmond, OK 73034-6362 2017-04-24
1083150387 Joshy Shabu Registered Nurse 2900 Boulder Ct, Edmond, OK 73003-2146 2017-01-10
1609246982 Lauren Kliewer Registered Nurse 13908 Oakmond Rd, Edmond, OK 73013-2406 2015-09-30
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Competitor

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City EDMOND
Zip Code 73012

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Dataset Information

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.

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