MRS. KAITLIN MALLON ARNP NPI 1689961542

Nurse Practitioner (Family) in Spokane, WA

Individual Female Nurse Practitioner Family PECOS Enrolled

About KAITLIN MALLON

Kaitlin Mallon is a provider established in Spokane, Washington and her medical specialization is nurse practitioner. The NPI number of Kaitlin Mallon is 1689961542 and was assigned on June 2011. The practitioner's primary taxonomy code is 363LF0000X with license number AP60230746 (WA). The provider is registered as an individual and her NPI record was last updated one year ago. Kaitlin Mallon is enrolled in PECOS.

NPI

1689961542

Provider NameMRS. KAITLIN MALLON ARNP
Provider Location Address1919 S GRAND BLVD SPOKANE, WA 99203
Provider Mailing AddressPO BOX 421 LIBERTY LAKE, WA 99019
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-29-2011
Last Update Date10-09-2019

Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.AP60230746
License StateWA
Taxonomy DescriptionDefinition to come…

Business Address

MRS. KAITLIN MALLON ARNP
1919 S GRAND BLVD
SPOKANE, WA
ZIP 99203
Phone: (509) 747-3081
Fax: (509) 227-7070

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Mailing Address

MRS. KAITLIN MALLON ARNP
PO BOX 421
LIBERTY LAKE, WA
ZIP 99019
Phone: (509) 747-2455

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134192107MS. DEBRA ANN FREUND MS RN CPNP
Individual
Nurse Practitioner (Pediatrics)1919 S GRAND BLVD
SPOKANE, WA 99203
(509) 747-3081
1194355271 KATHERINE ROSSI HARRIS
Individual
Social Worker (Clinical)1919 S GRAND BLVD
SPOKANE, WA 99203
(509) 747-3081
1306877196MRS. BETTY ANN HARTLEY-KEITH ARNP
Individual
Nurse Practitioner (Pediatrics)1919 S GRAND BLVD
SPOKANE, WA 99203
(509) 747-3081
1346488947WOMEN FIRST, PS
Organization
Obstetrics & Gynecology (Gynecology)1919 S GRAND BLVD SUITE A
SPOKANE, WA 99203
(509) 536-1836
1699705160 CINDY K HOLLENBAUGH M.D.
Individual
Pediatrics1919 S GRAND BLVD
SPOKANE, WA 99203
(509) 747-3081
1710917299 SHANE B CARSON D.O.
Individual
Pediatrics1919 S GRAND BLVD
SPOKANE, WA 99203
(509) 747-3081

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.