MALLORY KATE REVELL (NPI# 1578172250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578172250 |
| Entity Type | Individual |
| Full Name | MALLORY KATE REVELL |
| Credential | DNP STUDENT |
| Practice Address |
1701 S Broadway S Irene Ransom Bradley School of Nursing, Psu Pittsburg KS 66762 |
| Practice Telephone | 6202354431 |
| Mailing Telephone | 6202354431 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 127029 | KS | Student, Health Care |
| Street Address |
1701 S BROADWAY S IRENE RANSOM BRADLEY SCHOOL OF NURSING, PSU |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| 1447662168 | Todd Brynds | Specialist/Technologist | 100 N. Pine, Pittsburg, KS 66762 | 2014-05-29 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959173 | Kaitlin Dougherty | Student in an Organized Health Care Education/Training Program | 163 Alturas Ave, Pittsburg, CA 94565-5883 | 2020-10-14 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1952837213 | Peter William Zak | Student in an Organized Health Care Education/Training Program | 1400 Locus St, Ermire Suite 6511, Pittsburg, PA 15213 | 2017-05-05 |
| 1093160897 | Yahanna Torres | Student in an Organized Health Care Education/Training Program | Upmc Montefiore, 3459 Fifth Avenue, 9 South, Pittsburg, PA 15213 | 2016-04-29 |
| 1740644988 | Monica Schointuch | Student in an Organized Health Care Education/Training Program | 3600 Forbes Avenue Forbes Tower-plaza Level Suite 140, Pittsburg, PA 15213 | 2016-04-13 |
| 1356717813 | Marcus Martinez | Student in an Organized Health Care Education/Training Program | 2221 Alderbrook Way, Pittsburg, CA 94565-7306 | 2015-08-18 |
| 1992031629 | Ilke Kadioglu | Student in an Organized Health Care Education/Training Program | 555 School St # 94565, Pittsburg, CA 94565-3937 | 2009-10-30 |
| 1528224805 | Emily Anne Anderson | Student in an Organized Health Care Education/Training Program | 555 School Street, Pittsburg, CA 94565-2853 | 2008-08-06 |
| 1740891621 | Gabriela Jauregui | Student in an Organized Health Care Education/Training Program | 2240 Gladstone Dr Ste 2, Pittsburg, CA 94565-5126 | 2020-08-13 |
| Find all providers in PITTSBURG | ||||
Please comment or provide details below to improve the information on MALLORY KATE REVELL.
| 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.