JULIE MALLORY (NPI# 1740506575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740506575 |
| Entity Type | Individual |
| Full Name | JULIE MALLORY |
| Credential | NP |
| Practice Address |
1524 Mchenry Ave Ste 470 Modesto CA 95350-4572 |
| Practice Telephone | 2095258292 |
| Practice Fax Number | 2095258295 |
| Mailing Telephone | 2095258292 |
| Mailing Fax Number | 2095258295 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
509396 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19415 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831525559 | Julie Mallory | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2013-09-26 |
| 1437276052 | Julie Ann Mallory | Dietitian, Registered | 901 N Porter Ave, Food & Nutrition Services, Norman, OK 73071-6404 | 2007-03-26 |
| Street Address |
1524 MCHENRY AVE STE 470 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174794366 | Christopher F. Amsden, Md, Inc. | Physical Medicine & Rehabilitation | 1524 Mchenry Ave Ste 470, Modesto, CA 95350-4572 | 2008-03-17 |
| 1659542561 | Christopher F Amsden Md | Clinic/Center | 1524 Mchenry Ave Ste 470, Modesto, CA 95350-4572 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227797 | Beverly M Hodges Advanced Practice Registered Nursing Inc | Nurse Practitioner | 814 14th St Ste E, Modesto, CA 95354-1028 | 2020-08-24 |
| 1417575747 | Jyotishna Narayan | Nurse Practitioner | 1801 H St Ste C, Modesto, CA 95354-1221 | 2020-07-13 |
| 1134746019 | Michael They | Nurse Practitioner | 802 14th St Ste N, Modesto, CA 95354-1029 | 2020-06-26 |
| 1528604543 | Kristy Leann Fullard | Nurse Practitioner | 2012 Kendall Ave, Modesto, CA 95355-3280 | 2019-11-25 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1699288993 | Advance Nursing Practice Medical Group Inc | Nurse Practitioner | 1409 Lecourbe Ct, Modesto, CA 95356-8905 | 2017-11-08 |
| 1154830842 | Maria Christina Romasanta Quintana | Nurse Practitioner | 2416 La Playa Ln, Modesto, CA 95355-7952 | 2017-09-25 |
| 1538690607 | Myla Urbano | Nurse Practitioner | 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 | 2017-03-21 |
| 1467808758 | Prakriti Prashanta Janz-navarro | Nurse Practitioner | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2016-05-05 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in MODESTO | ||||
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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.