MALLORY FAWNS (NPI# 1821493859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821493859 |
| Entity Type | Individual |
| Full Name | MALLORY FAWNS |
| Other Name | MALLORY STAFFORD |
| Practice Address |
6501 Coyle Ave Carmichael CA 95608-0306 |
| Practice Telephone | 9165375550 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 844690 | CA | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
844690 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Cirby Hills Dr, Roseville, CA 956784360 | 9167878848 |
| Street Address |
6501 COYLE AVE |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821228 | David L Wolf | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2005-12-13 |
| 1336746130 | Emily Montandon | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-10-05 |
| 1235745688 | Lianna Petrosyan | Counselor | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-21 |
| 1215541131 | Desirae Rachelle Exendine | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-08 |
| 1992322374 | Karen Weber | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-07-01 |
| 1164049847 | Ashley Ann Diaz | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-29 |
| 1164048450 | Jennifer Saephanh | Physician Assistant | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-22 |
| 1992321525 | Amy Marie Montgomery | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-19 |
| 1912520891 | Patricia Allison Stiles | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-05-26 |
| 1235764457 | Diane Sandstrom Nance | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385177 | Marina Loyko | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2019-09-12 |
| 1316594716 | David Quan | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2019-08-20 |
| 1225685621 | Eula Cooper | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
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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.