MALLORY SANDRIDGE (NPI# 1861854572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861854572 |
| Entity Type | Individual |
| Full Name | MALLORY SANDRIDGE |
| Credential | NP |
| Practice Address |
5 Harris Court, Building T Suite 201 Monterey CA 93940-5750 |
| Practice Telephone | 8313754105 |
| Practice Fax Number | 8313725722 |
| Mailing Telephone | 8313754105 |
| Mailing Fax Number | 8313725722 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95010564 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 0024173408 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 HARRIS COURT, BUILDING T SUITE 201 |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065810 | Laura Stampleman | Internal Medicine | 5 Harris Court, Building T, Suite 201, Monterey, CA 93940 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287757 | Michelle Correa Salameh | Nurse Practitioner | 1441 Via Marettimo, Monterey, CA 93940-6415 | 2020-08-28 |
| 1720404163 | Diana Kolman | Nurse Practitioner | 2020 Del Monte Ave Suite B, Monterey, CA 93940 | 2014-03-10 |
| 1053543777 | Stacy Marie Rohrbough | Nurse Practitioner | 243 El Dorado St Ste 200, Monterey, CA 93940-2914 | 2009-08-13 |
| 1275639247 | Cynthia Ann Fazekas | Nurse Practitioner | 977 Pacific St Ste B, Monterey, CA 93940-4400 | 2006-09-16 |
| 1841847183 | James Walter Darden Iv | Nurse Practitioner | 12 Upper Ragsdale Dr Ste A, Monterey, CA 93940-5730 | 2019-08-21 |
| 1538670716 | Dalaine Regatalio Resurreccion | Nurse Practitioner | 23 Upper Ragsdale Dr, Monterey, CA 93940 | 2017-10-16 |
| 1922542083 | Rachel Faye Brittain Sweeney | Nurse Practitioner | 100 Wilson Rd, Ste 110, Monterey, CA 93940-7885 | 2016-12-08 |
| 1720429095 | Kimberly Ann Godsey | Nurse Practitioner | 30 Garden Ct Ste B, Monterey, CA 93940-5302 | 2013-07-15 |
| 1962770958 | Diana E Monsalve | Nurse Practitioner | 30 Garden Ct, B, Monterey, CA 93940-5302 | 2011-12-06 |
| 1114207347 | Dennis Michael Niekro | Nurse Practitioner | 5 Harris Ct Bldg T, Suite 201, Monterey, CA 93940-5750 | 2011-08-19 |
| Find all providers in MONTEREY | ||||
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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.