1. Home
  2. Directory
  3. Florida
  4. Daytona Beach
  5. Registered Nurse
  6. NPI Profile

KATINA MALLORY
NPI 1215582663
Registered Nurse in Daytona Beach, FL

Active since August 02, 2019
621 RUSSELL DR, DAYTONA BEACH, FL 32114(386) 871-7368 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Katina Mallory NPPES

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

KATINA MALLORY (NPI 1215582663) is an individual registered nurse in Daytona Beach, Florida, licensed in Florida (RN9180804) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1215582663
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKATINA MALLORY
Location Address621 RUSSELL DRDaytona Beach, FL 32114-5141
Mailing Address621 Russell DrDaytona Beach, FL 32114-5141 · (386) 871-7368
Phone(386) 871-7368
Sole ProprietorYes
Enumeration DateAugust 2, 2019
✔ NPI 1215582663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in FL · RN9180804
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
621 RUSSELL DR, Daytona Beach, FL 32114
Open in Google Maps ↗

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 Katina Mallory's NPI number?

The NPI number for Katina Mallory is 1215582663. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Katina Mallory located?

Katina Mallory practices at 621 Russell Dr, Daytona Beach, FL 32114. The listed phone number is (386) 871-7368.

What is Katina Mallory's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Katina Mallory was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.