MALLORY TAGGE (NPI# 1548636293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548636293 |
| Entity Type | Individual |
| Full Name | MALLORY TAGGE |
| Credential | APRN-CNP, AGPCNP-BC |
| Practice Address |
401 Sw 80th St Building D, Suite 200 Oklahoma City OK 73139-8122 |
| Mailing Address |
401 Sw 80th St Bldg D, Ste. 200 Oklahoma City OK 73139-8122 |
| Practice Telephone | 4056014227 |
| Mailing Telephone | 4056014227 |
| Mailing Fax Number | 4056014237 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 99510 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 SW 80TH ST BUILDING D, SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534024 | Terrell R Phillips | Specialist | 401 Sw 80th St, Bldg D Ste 200, Oklahoma City, OK 73139-8122 | 2006-06-09 |
| 1144643024 | Fiorella Avant Do Pllc | Pain Medicine | 401 Sw 80th St, Bldg D, Suite 101, Oklahoma City, OK 73139-8122 | 2014-01-28 |
| 1952654873 | Southwest General Surgery, Pllc | Surgery | 401 Sw 80th St, Suite 101, Oklahoma City, OK 73139-8122 | 2012-10-16 |
| 1174889802 | Gabriel M P Itman Do PC | Psychiatry & Neurology | 401 Sw 80th St, #201, Oklahoma City, OK 73139-8122 | 2012-04-06 |
| 1003193061 | Gabriel M Pitman Do | Psychiatry & Neurology | 401 Sw 80th St, Suite 201, Oklahoma City, OK 73109-0000 | 2011-11-04 |
| 1114942810 | Terrell R Phillips Do Inc | Anesthesiology | 401 Sw 80th St, Bldg D Ste 200, Oklahoma City, OK 73139-8122 | 2006-07-13 |
| 1992739908 | Comprehensive Pain Center, Inc. | Pain Medicine | 401 Sw 80th St, Building D, Suite 200, Oklahoma City, OK 73139-8122 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1952875981 | Brieana Kay Dawson | Nurse Practitioner | 8501 Sw 48th St, Oklahoma City, OK 73179-4622 | 2019-01-12 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1922593771 | Terry Murdock | Nurse Practitioner | 6305 N Villa Ave Apt 13, Oklahoma City, OK 73112-7133 | 2018-06-25 |
| 1487157772 | Misti Jayne Moon-harris | Nurse Practitioner | 8125 S Walker Ave Ste A, Oklahoma City, OK 73139-9417 | 2018-03-13 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1295241891 | Rachel Sims | Nurse Practitioner | 8408 Nw 143rd Ter, Oklahoma City, OK 73142-7002 | 2017-12-18 |
| 1417475997 | Tola Janet Suleiman | Nurse Practitioner | 13024 Almond Dr, Oklahoma City, OK 73170-1152 | 2017-09-05 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on MALLORY TAGGE.
| 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.