MALLORY POWELL CPNP-PC
NPI 1417787631
Nurse Practitioner - Pediatrics in Liberty Hill, TX

Active since August 02, 2024
12661 W STATE HIGHWAY 29, LIBERTY HILL, TX 78642(512) 778-5111(512) 260-8103 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Powell Cpnp-pc NPPES

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

MALLORY POWELL CPNP-PC (NPI 1417787631) is an individual pediatrics provider in Liberty Hill, Texas, licensed in Texas (1170341) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1417787631
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMALLORY POWELLCredential: CPNP-PC
Location Address12661 W STATE HIGHWAY 29Liberty Hill, TX 78642-4729
Mailing Address12661 W State Highway 29Liberty Hill, TX 78642-4729 · (512) 778-5111 · Fax (512) 260-8103
Fax(512) 260-8103
Sole ProprietorYes
Enumeration DateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1417787631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1170341
12661 W STATE HIGHWAY 29, Liberty Hill, TX 78642

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
12661 W STATE HIGHWAY 29
LIBERTY HILL, TX 78642

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 Powell's NPI number?

The NPI number for Mallory Powell is 1417787631. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Mallory Powell located?

Mallory Powell practices at 12661 W State Highway 29, Liberty Hill, TX 78642. The listed phone number is (512) 778-5111.

What is Mallory Powell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Mallory Powell accept?

Health plans from Blue Cross and Blue Shield of Texas list Mallory Powell 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 Mallory Powell was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.