OLGA MALLICOAT


Address: 1082 Shadow Wood Ln, Morristown, TN 37814-8010
Phone: 4233120864

OLGA MALLICOAT (NPI# 1821514738) 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) 1821514738
Entity Type Individual
Full Name OLGA MALLICOAT
Credential FNP
Practice Address 1082 Shadow Wood Ln
Morristown
TN 37814-8010
Practice Telephone 4233120864
Enumeration Date 2017-08-22
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 23052 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN APRN LICENSE NUMBER 23052 01

Office Location

Street Address 1082 SHADOW WOOD LN
City MORRISTOWN
State TN
Zip Code 37814-8010

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700357035 Morristown Heart, Pllc Internal Medicine Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 2018-12-16
1669942207 Amanda Madeline Still Case Manager/Care Coordinator 310 West Third North Street, Morristown, TN 37814 2018-11-27
1750858353 April Caroline Lankford Case Manager/Care Coordinator 310 W 3rd North Street, Morristown, TN 37814 2018-11-01
1588165112 Cara Victoria Jill Mcmahan Registered Nurse 310 W 3rd N Street, Morristown, TN 37814 2018-02-28
1770084303 Janine Barnett Case Manager/Care Coordinator 210 W. 3rd North Street, Morristown, TN 37814 2018-02-28
1831616655 Genoa Healthcare, LLC Pharmacy 310 W 3rd North St Ste Pharm, Morristown, TN 37814 2017-08-23
1124542113 Jenny Lothamer Withem Speech-Language Pathologist 6205 Wintergreen Rd, Morristown, TN 37814 2017-08-01
1568998011 Urgent Care LLC Dba This Visit Clinic/Center 2261 Sandstone Drive, Morristown, TN 37814 2017-05-03
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1225406317 Alps Adult Day Services Clinic/Center 600 N. Daisy St., Morristown, TN 37814 2015-09-08
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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
1174134092 Misty N Simpson Nurse Practitioner 2536 Lanter Dr, Morristown, TN 37814-6018 2020-08-13
1033756853 Allison K Harris Nurse Practitioner 7684 E 600 S, Morristown, IN 46161-9404 2019-12-01
1831751056 Tonya Denise Denton Nurse Practitioner 500 Mcfarland St Ste D, Morristown, TN 37814-3992 2019-07-09
1750857587 Jessica Suzanne Singleton Nurse Practitioner 1111 Watercrest St, Morristown, TN 37814-3837 2018-10-19
1598271884 Lhcg Cxxxiii, LLC Nurse Practitioner 3301 W Andrew Johnson Hwy Ste 102, Morristown, TN 37814-3605 2017-12-21
1467800896 Karen Mary Long Nurse Practitioner 45 S Park Pl # 340, Morristown, NJ 07960-3924 2016-05-26
1558729988 Brenda Reilly Nurse Practitioner 104 Mills St, Morristown, NJ 07960-3722 2016-01-30
1629498696 Catherine Sawtell Nurse Practitioner 100 Madison Ave Bx 85, Mid Atlantic Neonatology Assoc Morristown Medical Ctr, Morristown, NJ 07962 2014-04-17
1538411830 Rustica Atienza Nurse Practitioner 151 Madison Ave, Morristown, NJ 07960-6016 2012-10-10
1265799340 Lori M Bouton Nurse Practitioner 1329 West Andrew Johnson Hwy, Morristown, TN 37814-3728 2012-04-13
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Competitor

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City MORRISTOWN
Zip Code 37814

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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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