ABIGAIL ELIZABETH MALLOY (NPI# 1073110367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073110367 |
| Entity Type | Individual |
| Full Name | ABIGAIL ELIZABETH MALLOY |
| Practice Address |
100 Medical Plz Lake St Louis MO 63367-1366 |
| Practice Telephone | 6366255328 |
| Mailing Telephone | 6366255328 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2019029423 | MO | Dietary & Nutritional Service Providers |
| Street Address |
100 MEDICAL PLZ |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818222 | Melissa Colleen Hynes | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-10-11 |
| 1639718984 | Cheryl Akers | Family Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-01-03 |
| 1982259305 | Cep America LLC | Emergency Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-08-02 |
| 1164084711 | Laboratory Corporation of America | Clinical Medical Laboratory | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-07-03 |
| 1174007868 | Takeysha Laray Lowe | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-09-19 |
| 1275027336 | Brianne Nicole Rigg | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-06-21 |
| 1316455959 | Audrey Anne Bolden | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-01-17 |
| 1013424530 | Victoria Lynn Hines | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-01-05 |
| 1942724786 | Sara Jane Daniels | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-08-02 |
| 1104340223 | Samantha Lukert | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565534 | Lindsay Buchheit Nutrition Services | Dietitian, Registered | 39 Champagne Dr, Lake St Louis, MO 63367-1605 | 2015-04-08 |
| 1275027336 | Brianne Nicole Rigg | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-06-21 |
| 1932642675 | Emily Welin | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2016-11-29 |
| 1104203835 | Lindsay Buchheit | Dietitian, Registered | 39 Champagne Dr, Lake St Louis, MO 63367-1605 | 2015-05-01 |
| 1154696656 | Pamela Jean Underwood | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
Please comment or provide details below to improve the information on ABIGAIL ELIZABETH MALLOY.
| 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.