TAMMRA KAY MALLORY (NPI# 1750757076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750757076 |
| Entity Type | Individual |
| Full Name | TAMMRA KAY MALLORY |
| Credential | FNP-C |
| Practice Address |
1501 Hartford St Lafayette IN 47904-2134 |
| Mailing Address |
100 Prelude Lane Apt 203 Lafayette IN 47905 |
| Practice Telephone | 7654236011 |
| Mailing Telephone | (815) 953-9478 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2017-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007270A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013163 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 HARTFORD ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497121 | Tippecanoe Emergency Ambulance Service | Ambulance | 1501 Hartford St, Lafayette, IN 47904-2134 | 2005-12-13 |
| 1902316888 | Michelle Erdman | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-10-05 |
| 1851820971 | Allison Marie Stover | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-06-12 |
| 1265961742 | Annmarie Reuzenaar Schwarz | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-06-08 |
| 1912436544 | Glenda Gay Chambers | Speech-Language Pathologist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-06-07 |
| 1023546769 | Justin Jargstorf | Physical Therapy Assistant | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-25 |
| 1831625961 | Karrie Canary | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-10 |
| 1700312014 | Brook Spenner | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-05 |
| 1083140347 | Erin Mitchell | Occupational Therapy Assistant | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-05 |
| 1932583036 | Therese Eutsler | Mechanotherapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2015-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915233 | Christi Danielle Carmouche | Nurse Practitioner | 119 Crooked Stick Ln, Lafayette, LA 70506-7539 | 2020-09-03 |
| 1881204808 | Shavondali Harris Cawthorne | Nurse Practitioner | 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 | 2020-08-04 |
| 1386253870 | Millcreek Medical LLC | Nurse Practitioner | 105 Moss Brook Dr, Lafayette, LA 70508-8039 | 2020-07-30 |
| 1174145759 | Synita Wooten | Nurse Practitioner | 200 Highway 52 Byp E, Lafayette, TN 37083-1353 | 2020-05-18 |
| 1316567548 | Michelle Cataldo | Nurse Practitioner | 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 | 2020-04-17 |
| 1255974515 | Dr. Terrell S Manuel, LLC | Nurse Practitioner | 336 Brightwood Dr, Lafayette, LA 70508-7358 | 2019-10-19 |
| 1477117562 | Kayley Jon Myers | Nurse Practitioner | 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 | 2019-04-24 |
| 1003371840 | Brandi Rene Boutte | Nurse Practitioner | 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 | 2019-02-06 |
| 1265912141 | Kathryn Lynn Armentor Boutte | Nurse Practitioner | 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 | 2018-08-20 |
| 1801380829 | Sarah Darouse | Nurse Practitioner | 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 | 2018-06-22 |
| Find all providers in LAFAYETTE | ||||
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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.