MALLORY GAIL CROWNOVER


Address: 147 S 52nd Pl, Springfield, OR 97478-6210
Phone: 5417461166

MALLORY GAIL CROWNOVER (NPI# 1700390721) 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) 1700390721
Entity Type Individual
Full Name MALLORY GAIL CROWNOVER
Credential NP
Practice Address 147 S 52nd Pl
Springfield
OR 97478-6210
Practice Telephone 5417461166
Practice Fax Number 5413931607
Mailing Telephone 5417461166
Mailing Fax Number 5413931607
Enumeration Date 2017-11-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 201710156NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner ARNP9344290 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3377 Riverbend Dr, Springfield, OR 974778803 5412226200 5412226182

Office Location

Street Address 147 S 52ND PL
City SPRINGFIELD
State OR
Zip Code 97478-6210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548236029 Kathleen Anne Jackson Internal Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-02-24
1932630365 Praxis Medical Group Inc Internal Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2017-03-27
1265852586 Cary Randall Bybee Emergency Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2014-04-25
1902156110 Allyson Paige Swann Physician Assistant 147 S 52nd Pl, Springfield, OR 97478-6210 2012-09-14
1386696995 Steven Joseph Butdorf Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-16
1396797916 Michelle Lynn Kaplan Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-16
1437109154 Stephan Anthony Ames Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-11
1285684001 Eric L Geisler Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588225155 Mckenzie Dental Center Dentist 110 S. 59th St, Springfield, OR 97478 2019-06-25
1831691310 Michael Ryan Odle Psychologist 36716 Oak Point Rd, Springfield, OR 97478 2018-03-01
1639612880 Icco LLC Clinic/Center 5781 Main Street, Springfield, OR 97478 2016-11-21
1639529258 Nate John Sutherland Behavioral Analyst 37770 Upper Creek Road, Springfield, OR 97478 2016-06-14
1457760134 Leah Rybolt Physical Therapist 145 South 52nd Place, Springfield, OR 97478 2014-08-07
1972918423 Loree Lynn Howard Case Manager/Care Coordinator 4145 Jasper Road, Springfield, OR 97478 2014-06-24
1245589753 Sarah M Boothe Doula 870 S 46th St, Springfield, OR 97478 2012-08-30
1902155401 Dani Maree Hill Pharmacist 5744 Main Street, Springfield, OR 97478 2012-08-30
1295005312 Express Services Unlimited, Inc. Non-emergency Medical Transport (VAN) 37506 Hills Creek Road, Springfield, OR 97478 2012-01-05
1255524468 Leeann D Fields Licensed Practical Nurse 3318 Lakeview Dr, Eugene, OR 97478 2007-08-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578178422 Behishta Ishanzai Nurse Practitioner 7500 Geoint Dr, Springfield, VA 22150-7500 2020-09-08
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1255951331 Bryndi Raye Shirley Nurse Practitioner 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 2020-04-20
1750900379 Gemma Nicole D'angelo Nurse Practitioner 996 Stoneybrook Dr, Springfield, PA 19064-3829 2020-04-14
1629607882 Melanie Herrin Nurse Practitioner 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 2020-04-08
1871133520 Deborah Ann Tully Nurse Practitioner 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 2020-01-10
1932759651 Amanda Couchon Nurse Practitioner 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 2019-09-14
1760947410 Andrea K Leger Nurse Practitioner 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 2019-02-07
1417421579 Stephanie M Yeager Nurse Practitioner 3850 S National Ave Ste 700, Springfield, MO 65807-5292 2019-01-11
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
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Competitor

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City SPRINGFIELD
Zip Code 97478

Improve Information

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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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