TARA MALLORY
NPI 1982563433
Licensed Practical Nurse in Roscommon, MI

Q: What is Tara Mallory's NPI number?

The NPI number for Tara Mallory is 1982563433. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Q: What is Tara Mallory's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Mallory was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since January 20, 2026

5705 SEPTEMBER LN, ROSCOMMON, MI 48653(989) 325-0576 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tara Mallory NPPES

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

TARA MALLORY (NPI 1982563433) is an individual licensed practical nurse in Roscommon, Michigan, licensed in Michigan (4703083153) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1982563433

Entity TypeIndividual

Primary Taxonomy164W00000X

Provider Legal NameTARA MALLORY

Location Address5705 SEPTEMBER LNRoscommon, MI 48653-8756

Mailing Address5705 September LnRoscommon, MI 48653-8756

Phone(989) 325-0576

Sole ProprietorNo

Enumeration DateJanuary 20, 2026

NPPES CertifiedJanuary 20, 2026

✔ NPI 1982563433 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 MI · 4703083153

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.

5705 SEPTEMBER LN, Roscommon, MI 48653

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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 Tara Mallory's NPI number?

The NPI number for Tara Mallory is 1982563433. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Tara Mallory located?

Tara Mallory practices at 5705 September Ln, Roscommon, MI 48653. The listed phone number is (989) 325-0576.

What is Tara Mallory'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 Tara Mallory was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.