MALLORY HUBBARD


Address: 542 Lodge Dr, Saint Louis, MO 63126-1632
Phone: 3145043608

MALLORY HUBBARD (NPI# 1104478080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104478080
Entity Type Individual
Full Name MALLORY HUBBARD
Practice Address 542 Lodge Dr
Saint Louis
MO 63126-1632
Practice Telephone 3145043608
Enumeration Date 2019-07-11
Last Update Date 2020-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 542 LODGE DR
City SAINT LOUIS
State MO
Zip Code 63126-1632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639725088 Shelby Ann Kroeger Physical Therapist 29 Ronnie's Plaza, Saint Louis, MO 63126 2019-08-12
1396044186 Kristin Cassidy Occupational Therapist 11660 Eddie and Park Rd, Saint Louis, MO 63126 2011-03-21
1497913347 Bradley Keith Pugh Audiologist 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 2008-05-28
1780707034 William Anthony Taylor Sr. Dentist 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 2007-04-09
1265576904 Gerda Monika Thalheimer Dentist 11627 Gravois Rd, St Louis, MO 63126 2007-02-16
1841347341 Teralandur K. Parthasarathy Audiologist #30 Ronnie's Plaza, St. Louis, MO 63126 2007-01-05
1255402624 Paul Arthur Lapoint Optometrist 11611 Gravois Road, St Louis, MO 63126 2006-11-10
1003998907 Jeff Thompson Optometrist 211 Watson Plaza, St. Louis, MO 63126 2006-10-19
1992802433 Rc Physician Services, LLC Family Medicine 9200 Watson Rd., St Louis, MO 63126 2006-09-19
1386753184 Cynthia Diane Newell Social Worker Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 2006-08-29
Find all providers in zip 63126

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245845908 Ali Hamzehloo Student in an Organized Health Care Education/Training Program 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 2020-09-10
1114539137 Brooke Marissa Tubbs Student in an Organized Health Care Education/Training Program 5135 Redstone Rd, Saint Louis, MI 48880-9602 2020-08-20
1508475245 Irfan Yasin Student in an Organized Health Care Education/Training Program 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 2020-07-29
1457978231 Katherine Coates Student in an Organized Health Care Education/Training Program 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 2020-06-29
1184248437 Catherine Gaines Student in an Organized Health Care Education/Training Program 362 S Maple Ave, Saint Louis, MO 63119-3824 2020-06-02
1922620947 Nicole Werner Student in an Organized Health Care Education/Training Program 9669 Amona Ct, Saint Louis, MO 63123-6535 2020-05-13
1043831787 Reed Welch Student in an Organized Health Care Education/Training Program 1501 Fairmount Ave, Saint Louis, MO 63139-3628 2020-05-05
1437779097 Victoria Emanuelson Student in an Organized Health Care Education/Training Program 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 2020-04-23
1831727502 Kiran Ashok Patel Student in an Organized Health Care Education/Training Program 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 2020-03-30
1699301507 Morgann Madill Student in an Organized Health Care Education/Training Program 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 2020-03-23
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63126

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Dataset Information

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.

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