1. Home
  2. Directory
  3. New York
  4. Saranac Lake
  5. Licensed Practical Nurse
  6. NPI Profile

MALLORY SUPLEY
NPI 1144861089
Licensed Practical Nurse in Saranac Lake, NY

Active since October 02, 2019
70 EDGEWOOD RD, SARANAC LAKE, NY 12983(518) 891-5535 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Supley NPPES

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

MALLORY SUPLEY (NPI 1144861089) is an individual licensed practical nurse in Saranac Lake, New York, licensed in New York (303566) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1144861089
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMALLORY SUPLEY
Location Address70 EDGEWOOD RDSaranac Lake, NY 12983-1537
Mailing AddressPo Box 234Cadyville, NY 12918-0234 · (518) 293-5038
Phone(518) 891-5535
Sole ProprietorNo
Enumeration DateOctober 2, 2019
✔ NPI 1144861089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 303566
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
70 EDGEWOOD RD, Saranac Lake, NY 12983
Open in Google Maps ↗

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.

MS. SARAH ELIZABETH UPDEGRAFT CNM
Nurse Practitioner (Psychiatric/Mental Health)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535
MR. HARRISON METCALF EWING
Adult Companion
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-0310
MARY ALICE SMITH RN
Registered Nurse (Psychiatric/Mental Health)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 354-4126
JILLIAN BISONETTE
Case Manager/Care Coordinator
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535
COURTNEY BAKER
Social Worker (Clinical)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-2510
ANDREA M. PALERMO
Case Manager/Care Coordinator
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 354-4166
OLIVIA POPE LCSW
Social Worker (Clinical)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535
AMANDA AMELL
Counselor
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 354-4157

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 Supley's NPI number?

The NPI number for Mallory Supley is 1144861089. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Mallory Supley located?

Mallory Supley practices at 70 Edgewood Rd, Saranac Lake, NY 12983. The listed phone number is (518) 891-5535.

What is Mallory Supley's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mallory Supley was last updated on October 2, 2019. 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.