MALLORY MIDDLETON (NPI# 1992367833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992367833 |
| Entity Type | Individual |
| Full Name | MALLORY MIDDLETON |
| Credential | NP |
| Practice Address |
920 Oliver Rd Monroe LA 71201-5702 |
| Mailing Address |
130 Desiard St Ste 355 Monroe LA 71201-7363 |
| Practice Telephone | 3188076263 |
| Practice Fax Number | 3188127348 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
206724 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 S Ridge Rd, Rayville, LA 712697684 | 3185579626 |
| Street Address |
920 OLIVER RD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916253 | Barrington L Ricks | Pediatrics | 920 Oliver Rd, Suite 3, Monroe, LA 71201-5702 | 2005-07-19 |
| 1225662653 | Leigh Pierre | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2020-02-25 |
| 1750943726 | Marbie Nicole Becton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
| 1568028611 | Sierra G Norwood | Registered Nurse | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-05-14 |
| 1033775184 | Cynthia Turner | Registered Nurse | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-05-14 |
| 1366008500 | Katrina Gipson | Registered Nurse | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-05-14 |
| 1710453253 | Affinity Health Gorup, LLC | Orthopaedic Surgery | 920 Oliver Rd, Waiting Area L, Monroe, LA 71201-5702 | 2018-10-23 |
| 1912487869 | Annsley Walden Ray | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2018-08-20 |
| 1992219786 | Affinity Health Group LLC | Family Medicine | 920 Oliver Rd, Monroe, LA 71201-5702 | 2017-12-01 |
| 1477075992 | Ashley Davis | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1760950125 | Amanda Nederlof | Nurse Practitioner | 401 Monroe Tpke, Monroe, CT 06468-2276 | 2018-11-05 |
| 1629592209 | Gretchen Carlin | Nurse Practitioner | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2017-07-26 |
| 1619345360 | Lori Allen Sadler | Nurse Practitioner | 517 Great Oaks Dr, Suite #103, Monroe, GA 30655-8211 | 2015-09-11 |
| 1407239395 | Krystal Amber Yount | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2015-07-09 |
| 1851778765 | Melissa Varrone | Nurse Practitioner | 49 Forest Rd, Monroe, NY 10950-2923 | 2015-04-29 |
| 1154716736 | Emma Mean | Nurse Practitioner | 1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 | 2015-04-01 |
| 1326478447 | Nadia Marie Allen | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2013-11-27 |
| 1144652181 | Joanie Lynn Graves | Nurse Practitioner | 2915 Betin Ave, Monroe, LA 71201-7257 | 2013-08-01 |
| 1720367501 | Stacy Domingues Webb | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2011-08-10 |
| Find all providers in MONROE | ||||
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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.