MARY MALLORY (NPI# 1629587530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629587530 |
| Entity Type | Individual |
| Full Name | MARY MALLORY |
| Credential | NP |
| Practice Address |
7202 Poplar St Ste E Annandale VA 22003-3025 |
| Mailing Address |
900 Mountain Laurel Trl Virginia Beach VA 23454-3552 |
| Practice Telephone | 5718306195 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024174999 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024174999 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442944 | Mary Mallory | Nurse Practitioner | 200 West Arbor, San Diego, CA 92103 | 2015-07-15 |
| 1174672125 | Mary Clare Mallory | Acupuncturist | 1952 Blue Mesa Ct, Loveland, CO 80538-4125 | 2007-01-09 |
| 1801087796 | Mary L. Mallory | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2007-08-06 |
| 1174608392 | Mary Margaret Mallory | Nurse Practitioner | 1935 Motor St, %arms Clinic, Dallas, TX 75235-7701 | 2006-10-26 |
| 1427143874 | Mary Nan Mallory | Emergency Medicine | 530 S Jackson St, Department of Emergency Medicine C1h17, Louisville, KY 40202-1675 | 2006-10-03 |
| Street Address |
7202 POPLAR ST STE E |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962873695 | Procare Pharmacy Health Center | Pharmacy | 7202 Poplar St Ste E, Annandale, VA 22003-3025 | 2015-10-07 |
| 1962982405 | Tien Ma | Nurse Practitioner | 7202 Poplar St Ste E, Annandale, VA 22003-3025 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700257839 | Infectious Diseases Physicians | Nurse Practitioner | 3289 Woodburn Rd Ste 200, Annandale, VA 22003-7347 | 2015-10-15 |
| 1508162462 | Aurea B Sanzetenea | Nurse Practitioner | 7535 Little River Tpke, Suite 100 A,b,c, Annandale, VA 22003-2937 | 2011-02-09 |
| 1366755829 | Heather Blackstock Causseaux | Nurse Practitioner | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2010-07-26 |
| 1104835214 | Mary Patricia White | Nurse Practitioner | 7611 Little River Tpke, Suite 108, Annandale, VA 22003-2611 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999668 | Sharon Annette Mclaurin | Nurse Practitioner | 23320 Rogerdale Pl, Sterling, VA 20166-2143 | 2020-10-14 |
| 1538775697 | First Choice Anderson Fnp LLC | Nurse Practitioner | 127 Rabey Farm Rd, Suffolk, VA 23435-2256 | 2020-09-23 |
| 1225653629 | Christine Fay Amorosi | Nurse Practitioner | 1200 S Huntress Ct, Mc Lean, VA 22102-2515 | 2020-06-11 |
| 1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
| 1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
| 1942773908 | Tammy Jean Davidson | Nurse Practitioner | 1077 Saint Clairs Creek Rd, Chilhowie, VA 24319-5893 | 2019-01-02 |
| 1891266847 | Sarantuya Sukhee-hungerford | Nurse Practitioner | 102 Elden St Ste 16, Herndon, VA 20170-4839 | 2018-12-16 |
| 1174092894 | Advanced Practice Services, LLC | Nurse Practitioner | 362 Pleasant Pl, Charlottesville, VA 22911-2212 | 2018-11-26 |
| 1912472713 | Elina Sergeyevna Reynolds | Nurse Practitioner | 221 Mount Pleasant Rd Unit A-1, Chesapeake, VA 23322-4155 | 2018-10-08 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
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| 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.