MALLORY LYNNE SMITH (NPI# 1609334630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609334630 |
| Entity Type | Individual |
| Full Name | MALLORY LYNNE SMITH |
| Credential | AGACNP-BC |
| Practice Address |
1485 River Park Dr Ste 200 Sacramento CA 95815-4530 |
| Mailing Address |
1300 Ethan Way Ste 600 Sacramento CA 95825-2296 |
| Practice Telephone | 9163251040 |
| Practice Fax Number | 9166694100 |
| Mailing Telephone | 9164827623 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
95014580 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831465384 | Mallory Michelle Smith | Student in an Organized Health Care Education/Training Program | 409 Rhodes Ave, Earle, AR 72331-2136 | 2012-03-29 |
| 1891314530 | Mallory E Smith | Behavioral Analyst | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2020-04-13 |
| 1720561160 | Mallory Smith | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2018-09-12 |
| 1306337399 | Mallory K Smith | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Tc 1910/spc 5314, Ann Arbor, MI 48109-5000 | 2018-05-24 |
| 1235673583 | Mallory Smith | Counselor | 8351 N High St Ste 155, Columbus, OH 43235-1440 | 2016-12-06 |
| 1528305794 | Mallory Smith | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2013-01-08 |
| 1285988352 | Mallory Raye Smith | Behavioral Analyst | 1835 E Guadalupe Rd, Suite #103, Tempe, AZ 85283-3277 | 2012-10-29 |
| 1568406437 | Mallory Smith | Emergency Medicine | 125 Memorial Dr, Reidsville, GA 30453-4641 | 2006-06-15 |
| Street Address |
1485 RIVER PARK DR STE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356464333 | Jenifer Lyn Rofkahr | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2007-04-06 |
| 1972149052 | Francis Albert Arevalo Arce | Registered Nurse | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2019-11-23 |
| 1427614619 | Bindhu Roy | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2019-05-14 |
| 1336651967 | Daniel Klug | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2017-11-05 |
| 1033651195 | Christopher James Seligman | Registered Nurse | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2016-11-07 |
| 1720456270 | Amy Marie Samolis | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2015-09-14 |
| 1508243452 | Marie Elaine Snyder | Registered Nurse | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2015-04-29 |
| 1710396825 | Lindsey T Canavesio | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2014-08-04 |
| 1154603850 | Rebecca Lynn Rogers | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2011-09-19 |
| 1881902963 | Robert Lee Mccary | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2010-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108151 | Jennifer L Winters | Nurse Practitioner | 1011 Camino Del Rio S Ste 415, San Diego, CA 92108-3531 | 2020-06-11 |
| 1588214464 | Amanda Micaela Medrano | Nurse Practitioner | 725 Welch Rd Uppr PCu 420, Palo Alto, CA 94304-1601 | 2019-09-12 |
| 1629528278 | Angelynn Kitzerow | Nurse Practitioner | 1287b Arguello Blvd, San Francisco, CA 94122-2755 | 2016-10-06 |
| 1568641868 | Ivy Njoloma | Nurse Practitioner | 14248 San Benito Ct, Fontana, CA 92336-3781 | 2007-11-02 |
| 1508060237 | Oteria Randall Koayen | Nurse Practitioner | 1166 Brooktrail Dr, 1900 Fruitvale Ave Suite 3e, Pittsburg, CA 94565-7627 | 2007-06-14 |
| 1326118704 | Maria Amada F. Apacible | Nurse Practitioner | 160 Divisadero, San Francisco, CA 94143-0001 | 2006-11-09 |
| 1114934346 | Nicole Danielle Carrillo | Nurse Practitioner | 623 Broderick St, San Francisco, CA 94117-1411 | 2006-08-01 |
| 1962423640 | Maureen Kittner Haske Palomino | Nurse Practitioner | 100 Irvine Hall, Irvine, CA 92697-4275 | 2006-07-21 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on MALLORY LYNNE SMITH.
| 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.