MALLORY K BELLISSIMO (NPI# 1255640074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255640074 |
| Entity Type | Individual |
| Full Name | MALLORY K BELLISSIMO |
| Other Name | MALLORY K MEEHAN |
| Credential | PA-C |
| Practice Address |
1600 E Jefferson St Ste 510 Seattle WA 98122-5648 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063204888 |
| Practice Fax Number | 2063204203 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60385985 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 E JEFFERSON ST STE 510 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700806734 | Sharon B Grayson | Family Medicine | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2006-07-20 |
| 1306313127 | Lea R Hynes | Registered Nurse | 1600 E Jefferson St Ste 510, Seattle, WA 98122 | 2018-10-30 |
| 1285165761 | Kelsey Coleen Cline | Family Medicine | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2017-03-25 |
| 1487011029 | Cara Eileen Wade | Nurse Practitioner | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2016-01-27 |
| 1932592409 | Ashley Steinmann | Nurse Practitioner | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2015-03-09 |
| 1366833147 | Michelle M Happenny | Family Medicine | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2015-02-14 |
| 1477967016 | Alicia J Beecroft | Registered Nurse | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2014-06-11 |
| 1457798456 | Lia Kirson Schaefer | Counselor | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2013-05-30 |
| 1972846475 | Andrew Leslie Eastman | Family Medicine | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2013-04-03 |
| 1104119908 | Stephanie R Arguelles | Social Worker | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1902415888 | Elaine J Kow | Physician Assistant | 520 Terry Ave Unit 423, Seattle, WA 98104-2282 | 2020-07-27 |
| 1720603954 | Jill Kristine Nelson | Physician Assistant | 544 N 67th St, Seattle, WA 98103-5312 | 2020-06-12 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| 1740762400 | Natalie Thoma | Physician Assistant | 2309 Boylston Ave E Apt 401, Seattle, WA 98102-3381 | 2018-08-29 |
| 1417463720 | Amadi Aesthetics Plastic Surgery Pllc | Physician Assistant | 1503 2nd Ave W, Seattle, WA 98119-3007 | 2017-12-21 |
| 1669990230 | Olivia Price | Physician Assistant | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-05 |
| 1174062434 | Ngoc Diep Vu | Physician Assistant | 5832 Ne 75th St Unit E103, Seattle, WA 98115-6307 | 2017-02-20 |
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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.