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Mallory Moore , LPN

Licensed Practical Nurse β€’ Columbus, OH

Active NPI 1578972501 Individual Practitioner Female Practitioner
Practice location in NPPES

5252 Refugee Rd
Columbus, OH 432325355

Call 6146362811 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5252 Refugee Rd

Columbus, OH 432325355

Telephone 6146362811
Fax 6143404671
Organization at the Same NPPES Address or Phone
Protecting Your Heart Home Healthcare Agency, Llc Facility NPI 1487164802

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Canal Winchester, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

1,043 active clinicians are listed under Licensed Practical Nurse with a practice address in Columbus, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 1,043 clinicians have the CMS telehealth indicator.

0% of these 1,043 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 155601

An individual 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

3155 Stamford Brg

Canal Winchester, OH 431108103

Phone: 6146323487

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 15, 2017

Registered at 5252 REFUGEE RD, COLUMBUS, OH 432325355 (Tel: 6146362811)

πŸ“
Updated Business Mailing Address November 15, 2017

Registered at 5252 REFUGEE RD, COLUMBUS, OH 432325355 (Tel: 6146323487)

πŸ‘€
Provider Name / Credentials Updated November 15, 2017

Recorded as MALLORY MOORE, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Licensed Practical Nurse (license number reported to NPPES: OH 155601)

βœ…
NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2014

Registered at 3155 STAMFORD BRG, CANAL WINCHESTER, OH 431108103 (Tel: 6146323487)

πŸ“
Business Mailing Address (Initial Record) August 07, 2014

Registered at 3155 STAMFORD BRG, CANAL WINCHESTER, OH 431108103 (Tel: 6146323487)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2014

Recorded as MALLORY ANDRE, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Licensed Practical Nurse (license number reported to NPPES: OH 155601)

🟒
Initial NPI Registration & Enumeration August 04, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578972501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2014
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

5252 Refugee Rd

Columbus, OH 432325355

Phone: 6146323487

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.