MALLORY MICHELLE MICHNA (NPI# 1003281858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003281858 |
| Entity Type | Individual |
| Full Name | MALLORY MICHELLE MICHNA |
| Credential | NP-C |
| Practice Address |
1425 Columbus Ave Lebanon OH 45036-8258 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5132823010 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.18458-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1425 COLUMBUS AVE |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093749798 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2006-07-10 |
| 1376142802 | Brandon O'brien | Dietetic Technician, Registered | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2020-10-26 |
| 1952869216 | Yoori Noh | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2019-03-06 |
| 1689057374 | Lauren Marie Robertson | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-06-30 |
| 1245623347 | Tiffany Owens | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-03-13 |
| 1326431784 | Chelsea Costello | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-03-10 |
| 1346632494 | James Henderson | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-02-26 |
| 1366834616 | Chris Stallo | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-02-24 |
| 1336531938 | Matthew Moeller | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-02-19 |
| 1902242241 | The Little Clinic of Ohio LLC | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
| 1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
| 1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
| 1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
| 1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
| Find all providers in LEBANON | ||||
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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.