KATINA MALLORY


Address: 621 Russell Dr, Daytona Beach, FL 32114-5141
Phone: 3868717368

KATINA MALLORY (NPI# 1215582663) 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) 1215582663
Entity Type Individual
Full Name KATINA MALLORY
Practice Address 621 Russell Dr
Daytona Beach
FL 32114-5141
Practice Telephone 3868717368
Mailing Telephone 3868717368
Enumeration Date 2019-08-02
Last Update Date 2019-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse RN9180804 FL Nursing Service Providers

Office Location

Street Address 621 RUSSELL DR
City DAYTONA BEACH
State FL
Zip Code 32114-5141

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NPI Name Taxonomy Address Enumeration
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1033681861 Katherine Proppe Specialist/Technologist 1 Aerospace Blvd, Daytona Beach, FL 32114 2018-12-18
1841765047 Anna L Smith Nurse Practitioner 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 2018-10-04
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
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1346752755 Hand & Upper Extremity Surgery of Daytona Beach, LLC Non-Pharmacy Dispensing Site 1241 Ridgewood Ave, Daytona Beach, FL 32114 2017-10-26
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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
1033585831 Danielle Lawanna Jackson Registered Nurse 213 Birkdale Dr, Daytona Beach, FL 32124-2053 2015-08-15
1104262831 Beth Pierre Wright Registered Nurse 6 Azalea Dr, Daytona Beach, FL 32124-3613 2013-05-21
1245392802 Marigold Haresco Santos Registered Nurse 305 Dahoon Holly Dr, Daytona Beach, FL 32117-7121 2006-12-13
1215912027 Vicki L Wilcoxson Registered Nurse 303 N Clyde Morris Blvd Ste 302, Daytona Beach, FL 32114-2709 2005-12-14
1740287747 Catherine Virginia Root Registered Nurse 1220 Willis Ave, Daytona Beach, FL 32114-2810 2005-07-05
1235620527 Precious Monique Spencer Registered Nurse 1673 Mason Ave, Daytona Beach, FL 32117-5515 2018-05-23
1124537592 Beverly Jean Craigle Registered Nurse 1673 Mason Ave, Daytona Beach, FL 32117-5515 2017-09-28
1427575992 Kaitlyn Troftgruben Registered Nurse 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 2017-08-25
1053837344 Matthew Frederick Byron Registered Nurse 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 2017-08-17
1578007068 Jennifer Ciara Saccente Registered Nurse 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 2016-12-19
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Competitor

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City DAYTONA BEACH
Zip Code 32114

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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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