KATHERINE E MALLION


Address: 1511 S Grand Ave, Roswell, NM 88203-5407
Phone: 5756233255

KATHERINE E MALLION (NPI# 1831180405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831180405
Entity Type Individual
Full Name KATHERINE E MALLION
Credential PA-C, CNP
Practice Address 1511 S Grand Ave
Roswell
NM 88203-5407
Mailing Address 1515 W Fir St
Portales
NM 88130-5703
Practice Telephone 5756233255
Practice Fax Number 5756259901
Mailing Telephone 5753566695
Mailing Fax Number 5753565948
Enumeration Date 2005-11-02
Last Update Date 2015-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 94PA26 NM Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
CNP00188 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 91544 05

Office Location

Street Address 1511 S GRAND AVE
City ROSWELL
State NM
Zip Code 88203-5407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699120642 Faynessa Justine Hernandez Family Medicine 1511 S Grand Ave, Roswell, NM 88203-5407 2016-04-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770115586 Katherine Bolin Behavior Technician 333 West Brasher Rd. #200, Roswell, NM 88203 2020-02-10
1437660040 Pecos Valley Eye Surgery Center, LLC Clinic/Center 1610 Se Main Street, Roswell, NM 88203 2017-10-23
1285031286 Wheelchair and Walker Rentals, Inc. Durable Medical Equipment & Medical Supplies 305 W Mcgaffey St, Roswell, NM 88203 2014-11-20
1447585914 Whole World Health Care, PC Pediatrics 109 W. Bland, Roswell, NM 88203 2009-10-16
1780825372 Complete Rehab Adult Services Clinic/Center 109 W Bland, Roswell, NM 88203 2009-03-12
1710127220 Roswell Medical Care Health Maintenance Organization 111 W Hobbs, Roswell, NM 88203 2009-02-23
1336330513 Savitri Aguiar Internal Medicine 1511 South Grand, Roswell, NM 88203 2007-08-05
1750455523 Francisco Casio Bicol Jr. Occupational Therapist 200 W 1st St Ste 527, Roswell, NM 88203 2006-11-20
1699861542 Susan Lee Voigt Counselor 200 W 1st, Ste 532, Roswell, NM 88203 2006-10-05
1245336940 Founders Healthcare LLC Durable Medical Equipment & Medical Supplies 104 N Missouri Ave, Roswell, NM 88203 2006-09-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780217513 Abigail Drew Pothen Nurse Practitioner 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076-4956 2020-02-20
1295367464 Haley Hodoval Nurse Practitioner 1250 Upper Hembree Rd Ste B, Roswell, GA 30076-4651 2020-02-06
1306477153 Jessica Mae Kirby Nurse Practitioner 2370 Ashton Dr, Roswell, GA 30076-4232 2020-01-30
1659921625 Charmaine P Grant Nurse Practitioner 540 E Crossville Rd Ste 210, Roswell, GA 30075-7661 2019-09-12
1720190515 Tina H Strickland Nurse Practitioner 1380 Upper Hembree Road, Roswell, GA 30076 2006-08-31
1073523478 Kimberly A Hansen Nurse Practitioner 109 W Bland St, Roswell, NM 88203-5708 2006-08-08
1881602274 Heather A Carl Nurse Practitioner 1295 Hembree Rd Ste 101, Roswell, GA 30076-5721 2006-08-03
1457340978 Ingrid Lea Bloomfield Nurse Practitioner 4500 Hospital Blvd Ste 320, Roswell, GA 30076-0001 2005-10-18
1467445262 North Fulton Anesthesia Associates PC Nurse Practitioner 3000 Hospital Blvd, Roswell, GA 30076-4915 2005-08-26
1629060835 Marilyn Nishitani Nurse Practitioner 1112 N Main St, Roswell, NM 88201-5010 2005-08-16
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Competitor

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City ROSWELL
Zip Code 88203

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Dataset Information

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.

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