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MALISSA HALLAHAN
NPI 1003379207
Nurse Practitioner in Modesto, CA

Active since April 13, 2019
1500 FLORIDA AVE, MODESTO, CA 95350(866) 682-4842(877) 435-6573 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2020, Apr 13, 2019 (2 updates tracked since 2019).

About Malissa Hallahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALISSA HALLAHAN (NPI 1003379207) is an individual nurse practitioner in Modesto, California, licensed in California (NP95013990) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1003379207
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALISSA HALLAHAN
Location Address1500 FLORIDA AVEModesto, CA 95350-4408
Mailing Address737 W Childs AveMerced, CA 95341-6805
Phone(866) 682-4842
Fax(877) 435-6573
Sole ProprietorYes
Enumeration DateApril 13, 2019
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1003379207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95013990
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.
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 1-141039 (AL)
1500 FLORIDA AVE, Modesto, CA 95350
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD A LIND JR. M.D.
Internal Medicine
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 572-2114
MRS. ELIZABETH ANNE VALJALO RN, MSN, FNP
Nurse Practitioner (Family)
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 574-1365
MONIQUE LEE HELFER WHNP
Nurse Practitioner (Women's Health)
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 574-1365
MR. MICHAEL DOUGLAS BUTCHER SR. P.T.
Physical Therapist
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 577-8570
KAEWCHAI YUDANG FNP
Nurse Practitioner (Obstetrics & Gynecology)
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 722-4842
MR. LLOYD JAMES LEE SR. M.D.
Obstetrics & Gynecology
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (866) 682-4842
FLORENTINA MAGAT RONQUILLO APRN-BC, WHCNP, MSN.
Nurse Practitioner (Women's Health)
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 574-1365
GOLDEN VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (866) 682-4842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malissa Hallahan's NPI number?

The NPI number for Malissa Hallahan is 1003379207. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Where is Malissa Hallahan located?

Malissa Hallahan practices at 1500 Florida Ave, Modesto, CA 95350. The listed phone number is (866) 682-4842.

What is Malissa Hallahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Malissa Hallahan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Malissa Hallahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malissa Hallahan was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.