MS. BRENDA S MALLETT (NPI# 1144515578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144515578 |
| Entity Type | Individual |
| Full Name | MS. BRENDA S MALLETT |
| Credential | NP |
| Practice Address |
10435 Greenbough Dr Ste 300 Stafford TX 77477-5034 |
| Mailing Address |
400 Austin St Richmond TX 77469-4406 |
| Practice Telephone | 2812610182 |
| Mailing Telephone | 2813424530 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1440 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10435 GREENBOUGH DR STE 300 |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639354582 | Gelatia Tesfaye | Dentist | 10435 Greenbough Dr Ste 300, Stafford, TX 77477-5034 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957146 | Holly Beth Frankel | Nurse Practitioner | 110 Soaring Eagle Dr, Stafford, VA 22556-3903 | 2008-10-21 |
| 1790816320 | Deborah Callender | Nurse Practitioner | 385 Garrisonville Rd Ste 209, Stafford, VA 22554-1545 | 2007-03-07 |
| 1235768151 | Sasha Gray | Nurse Practitioner | 20 Doc Stone Rd, Stafford, VA 22556-4515 | 2020-04-02 |
| 1336697861 | Esther Ryan | Nurse Practitioner | 20 Doc Stone Rd, Stafford, VA 22556-4515 | 2016-09-13 |
| 1417318155 | Jessica Ruth Johnson | Nurse Practitioner | 110 Soaring Eagle Dr, Stafford, VA 22556-3903 | 2016-03-08 |
| 1962840074 | Just 4 Kids Pediatrics LLP | Nurse Practitioner | 2503 S Main St, Suite C, Stafford, TX 77477-5544 | 2013-06-11 |
| 1568785178 | Shainy Benny Varghese | Nurse Practitioner | 2503 S Main St, Suite C, Stafford, TX 77477-5544 | 2010-03-10 |
| 1770720476 | Bethanie Cooke | Nurse Practitioner | 110 Soaring Eagle Dr, Stafford, VA 22556-3903 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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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.