MRS. KATHRYN CHATTERTON MALLORY (NPI# 1922590918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922590918 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN CHATTERTON MALLORY |
| Credential | LPS |
| Practice Address |
318 Slater St Fairbanks AK 99701-2923 |
| Practice Telephone | 9074571101 |
| Practice Fax Number | 9074571121 |
| Mailing Telephone | 9074571101 |
| Mailing Fax Number | 9074571121 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
135481 | AK | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1596091 | 05 |
| Street Address |
318 SLATER ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674706 | Emily Low | Counselor | 1569 La Rue Ln, Fairbanks, AK 99709-6671 | 2020-03-18 |
| 1215578703 | Jesse Brooks | Counselor | 1203 26th Ave, Fairbanks, AK 99701-6832 | 2019-10-05 |
| 1548818008 | Tamela Eleasia Edwards | Counselor | 946 Cowles St Ste 106, Fairbanks, AK 99701-4381 | 2019-08-28 |
| 1538713946 | John Moses | Counselor | 4027 Birch Ln, Fairbanks, AK 99709-3517 | 2019-07-25 |
| 1124687140 | Galdys Duncan | Counselor | 122 1st Ave Ste 6001221, Fairbanks, AK 99701-4871 | 2019-06-12 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1851854798 | Siena Counseling, LLC | Counselor | 565 University Ave Ste 4, Fairbanks, AK 99709-3688 | 2019-04-08 |
| 1588134381 | Birch Tree Counseling LLC | Counselor | 600 University Ave Ste 6, Fairbanks, AK 99709-3651 | 2018-12-05 |
| 1669967451 | Jennifer Hood Lpc, LLC | Counselor | 626 2nd St Ste 103, Fairbanks, AK 99701-3466 | 2018-06-25 |
| 1972006435 | Reketta Peterson | Counselor | 3875 Geist Rd Ste E190, Fairbanks, AK 99709-3564 | 2018-03-12 |
| Find all providers in FAIRBANKS | ||||
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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.