TERRY K MALLORY (NPI# 1124117296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124117296 |
| Entity Type | Individual |
| Full Name | TERRY K MALLORY |
| Credential | ARNP |
| Practice Address |
345 6th St Ste 300 Bremerton WA 98337-1866 |
| Practice Telephone | 3603375235 |
| Practice Fax Number | 3603375259 |
| Mailing Telephone | 3603375235 |
| Mailing Fax Number | 3603375259 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30000361 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 137845 | 01 |
| WA | 9616400 | 05 | |
| REGENCE | MA8337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295091585 | Terry Ray Mallory | Counselor | 11428 N 53rd St, Temple Terrace, FL 33617-2216 | 2012-04-11 |
| Street Address |
345 6TH ST STE 300 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98337-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322704 | Mindi Outhwaite | Registered Nurse | 345 6th St Ste 300, Bremerton, WA 98337-1866 | 2017-08-14 |
| 1134641285 | Yolanda Fong | Registered Nurse | 345 6th St Ste 300, Bremerton, WA 98337-1866 | 2017-07-11 |
| 1760903165 | Jan Wendt | Registered Nurse | 345 6th St Ste 300, Bremerton, WA 98337-1866 | 2017-07-06 |
| 1376064352 | Laura Marie Ciulla | Registered Nurse | 345 6th St Ste 300, Bremerton, WA 98337-1866 | 2017-06-29 |
| 1972024941 | Nancy Marie Acosta | Registered Nurse | 345 6th St Ste 300, Bremerton, WA 98337-1866 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379563 | Paul Hastings | Physician Assistant | Peninsula Community Health Services, 400 Warren Ave, Suite 200, Bremerton, WA 98337 | 2019-01-07 |
| 1083199285 | Jacob Lawrence Barnes | Behavioral Analyst | 1709 13th St, Bremerton, WA 98337 | 2018-10-03 |
| 1295254092 | James Richard Mccormack | Counselor | 851 6th St Ste 135, Kitsap Hypnosis Center LLC, Bremerton, WA 98337 | 2017-09-12 |
| 1629593728 | Tina Mae Davis-munn | Registered Nurse | 345 6th St, Suite 300, Bremerton, WA 98337 | 2017-08-09 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1659792265 | Allan L Hablutzel | Dentist | 820 Pacific Ave., Suite 204, Bremerton, WA 98337 | 2013-12-27 |
| 1881979722 | Sidestix Ventures Usa | Durable Medical Equipment & Medical Supplies | 410 Ida St. West, Ste 201, Bremerton, WA 98337 | 2011-10-11 |
| 1346545829 | Doyle & Associates Chiropractic Clinic Inc Ps | Chiropractor | 603 Chester Avenue, Bremerton, WA 98337 | 2011-01-14 |
| 1285762856 | Tracee Arlene Costa | Massage Therapist | 911 Adele Rd., Bremerton, WA 98337 | 2007-03-02 |
| Find all providers in zip 98337 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790174142 | Jessett Tyler Pocuis | Nurse Practitioner | 2601 Cherry Ave Ste 200, Bremerton, WA 98310-4208 | 2015-01-22 |
| 1134488323 | Mary R Hutton Eyer | Nurse Practitioner | 2620 Wheaton Way, Bremerton, WA 98310-3335 | 2012-05-09 |
| 1447445408 | Eunice Jane Beachy | Nurse Practitioner | 2720 Clare Ave, Suite A, Bremerton, WA 98310-3374 | 2007-09-12 |
| 1962549824 | Constance Morrison-hoogstede | Nurse Practitioner | 2720 Clare Ave, Suite A, Bremerton, WA 98310-3374 | 2007-01-31 |
| 1902869118 | Jan Suzanne Morgan | Nurse Practitioner | 2601 Cherry Ave, Suite 200, Bremerton, WA 98310-4203 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1518434158 | Deborah Christine Tillman | Nurse Practitioner | 1064 Sommerville Rd., Chimacum, WA 98325 | 2018-11-01 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TERRY K MALLORY.
| 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.