MALLORY MAE SHAKE
NPI 1013745074
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since July 22, 2024
780 ROSE STREET, LEXINGTON, KY 40536(859) 323-6161 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Mae Shake NPPES

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

MALLORY MAE SHAKE (NPI 1013745074) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1013745074
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY MAE SHAKE
Location Address780 ROSE STREETLexington, KY 40536-0001
Mailing Address780 Rose StreetLexington, KY 40536-0001
Sole ProprietorNo
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
NPI 1013745074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

780 ROSE STREET, Lexington, KY 40536

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536
Emergency Medicine
780 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
780 ROSE STREET
LEXINGTON, KY 40536

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 Mallory Shake's NPI number?

The NPI number for Mallory Shake is 1013745074. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Mallory Shake located?

Mallory Shake practices at 780 Rose Street, Lexington, KY 40536. The listed phone number is (859) 323-6161.

What is Mallory Shake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mallory Shake was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.