MALLORY KING (NPI# 1679946255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679946255 |
| Entity Type | Individual |
| Full Name | MALLORY KING |
| Practice Address |
1100 E 5th St Anderson IN 46012-3462 |
| Mailing Address |
8931 Tanner Dr Fishers IN 46038-3012 |
| Practice Telephone | 7656414491 |
| Mailing Telephone | 3178408096 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184160160 | Mallory King | Speech-Language Pathologist | 4259 Great Falls Loop, Middleburg, FL 32068-3890 | 2017-01-13 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1346882198 | Mallory Elizabeth King | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2019-10-14 |
| 1154690089 | Mallory King | Massage Therapist | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 | 2011-12-21 |
| Street Address |
1100 E 5TH ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46012-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658310 | Jason William Good | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2006-02-13 |
| 1932700572 | Kacey Nicole Kaelin | Specialist/Technologist, Other | 1100 E 5th St, Anderson, IN 46012-3495 | 2020-11-02 |
| 1467014035 | Ashley Downs | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2019-07-03 |
| 1366918823 | Cody Ryan Harlan | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2018-10-22 |
| 1023593548 | Philip Timothy Boor IIi | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2018-10-01 |
| 1487172268 | Tanya Michelle Whiteman | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-08-31 |
| 1831635747 | Ethan Thomas Frye | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1104362011 | Josh Willard | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1922544832 | Trevor Pruitt | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1386180297 | Jarrad Buckner | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
| 1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
| 1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
| 1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
| 1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
| 1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
| 1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
| 1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
| Find all providers in zip 46012 | ||||
| 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 |
|---|---|---|---|---|
| 1932727625 | Kati Mathis | Student in an Organized Health Care Education/Training Program | 907 Canterbury Rd, Anderson, SC 29621-1401 | 2020-07-08 |
| 1952939001 | Christian Michael Askew | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-04-01 |
| 1184252389 | Chadwick Christian Nabors | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-04-01 |
| 1932737491 | Michael Rodgers Holland Jr. | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3600, Anderson, SC 29621-1725 | 2020-03-31 |
| 1992333298 | Joanna Norton | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3600, Anderson, SC 29621-1725 | 2020-03-31 |
| 1427686047 | Allie Marina Cooper | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-03-30 |
| 1497383988 | Collin Andrus | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-03-30 |
| 1467089474 | Taylor Haines | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-03-27 |
| 1508493719 | Harris Raza | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-03-26 |
| 1679100796 | Joseph Williams | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2020-03-26 |
| Find all providers in ANDERSON | ||||
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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.