MALLORY ROBERSON (NPI# 1134661440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134661440 |
| Entity Type | Individual |
| Full Name | MALLORY ROBERSON |
| Credential | NP |
| Practice Address |
1701 Main Ave Sw Suite E Cullman AL 35055-5299 |
| Practice Telephone | 2565319213 |
| Mailing Telephone | 2565319213 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-131922 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 MAIN AVE SW SUITE E |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964640 | Melanie A Mitchell | Nurse Practitioner | 1701 Main Ave Sw, Suite A, Cullman, AL 35055-5299 | 2005-10-04 |
| 1528673621 | Cullman Pain and Wellness LLC | Anesthesiology | 1701 Main Ave Sw, Cullman, AL 35055-5299 | 2020-09-15 |
| 1871126169 | Donna Wilbanks Chamblee | Specialist/Technologist | 1701 Main Ave Sw, Cullman, AL 35055-5299 | 2020-02-15 |
| 1639723190 | Thaddeus Parker | Occupational Therapist | 1701 Main Ave Sw, Cullman, AL 35055 | 2019-08-01 |
| 1376101147 | Rachel Lovell | Speech-Language Pathologist | 1701 Main Ave Sw, Cullman, AL 35055-5299 | 2019-06-05 |
| 1255872313 | Tara Weaver | Occupational Therapist | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5299 | 2017-03-09 |
| 1609223627 | Ariel Tucker | Rehabilitation Practitioner | 1701 Main Ave Sw, Cullman, AL 35055 | 2016-05-19 |
| 1518312271 | Heather Jarmon | Speech-Language Pathologist | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5385 | 2016-05-02 |
| 1073968350 | Anesthesia Services Associates Pllc | Anesthesiology | 1701 Main Ave Sw, Suite E, Cullman, AL 35055-5299 | 2016-04-25 |
| 1528450970 | William Arnold Shirey II | Specialist/Technologist | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5299 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427571389 | Sonya K Hicks | Nurse Practitioner | 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394195 | Farzana Gilani | Nurse Practitioner | 4577 Mcgill Ter, Hoover, AL 35226-6382 | 2020-07-31 |
| 1235762980 | Zachary David Quintana | Nurse Practitioner | 101 Sivley Rd Sw Ste 300, Huntsville, AL 35801-4421 | 2020-02-20 |
| 1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
| 1437613031 | Lynsey Smith | Nurse Practitioner | 121 N 20th St Ste 2, Opelika, AL 36801-5409 | 2019-01-28 |
| 1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| 1326580515 | Kams Transportation and Mobile Health Services | Nurse Practitioner | 102 Pearle Cove Dr, Huntsville, AL 35806-4243 | 2016-11-06 |
| 1124489588 | Kristen Cravens | Nurse Practitioner | 1201 11th Ave South, Uab Highlands Hospital, Birmingham, AL 35205-3422 | 2016-03-14 |
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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.