SARA KATHLEEN MALLADY (NPI# 1841821303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841821303 |
Entity Type | Individual |
Full Name | SARA KATHLEEN MALLADY |
Credential | CNP |
Practice Address |
2537 Brookdale St Nw Canton OH 44709-2255 |
Practice Telephone | 3303232336 |
Mailing Telephone | 3303232336 |
Enumeration Date | 2020-02-03 |
Last Update Date | 2020-02-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN.392875 | OH | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.026263 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2537 BROOKDALE ST NW |
City | CANTON |
State | OH |
Zip Code | 44709-2255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
Find all providers in zip 44709 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1548875081 | Mohamed Jamal | Nurse Practitioner | 48485 River Way Dr, Canton, MI 48187-5622 | 2020-09-11 |
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1184240251 | Timothy John Mcginnis | Nurse Practitioner | 755 Stonehenge Dr, Canton, MI 48188-1257 | 2020-06-24 |
1952927477 | Alexandra Arzenshek | Nurse Practitioner | 1042 Creek Side Dr, Canton, GA 30115-8541 | 2020-06-20 |
1326663717 | Meghan Markham | Nurse Practitioner | 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 | 2020-06-11 |
1194348821 | Janet L Jarrette | Nurse Practitioner | 100 Generals Pl, Canton, GA 30114-5881 | 2020-05-28 |
1326685124 | Cicely Lashay Scott | Nurse Practitioner | 208 Winterbury Dr, Canton, GA 30114-1235 | 2019-11-30 |
1609410976 | Ashley N Decraene | Nurse Practitioner | 50153 Grant St, Canton, MI 48188-3480 | 2019-10-30 |
1194369587 | Lori Pulliam | Nurse Practitioner | 470 Northside Cherokee Blvd Ste 250, Canton, GA 30115-8015 | 2019-10-30 |
1437719192 | Ebone' Sade' Singleton | Nurse Practitioner | 124 Links Dr Apt 204k, Canton, MS 39046-5388 | 2019-06-15 |
Find all providers in CANTON |
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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.