TAMMRA KAY MALLORY FNP-C NPI 1750757076

NPI Information

  • NPI: 1750757076
  • Provider Name: TAMMRA KAY MALLORY, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11027 BAYCREEK DR
    INDIANAPOLIS, IN
    ZIP 46236
  • Phone: (813) 730-8960

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NPI Details

Tammra Kay Mallory, FNP-C is a family nurse practitioner in Indianapolis, IN with 10 years of experience. Tammra Kay Mallory, FNP-C NPI is 1750757076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11027 BAYCREEK DR
INDIANAPOLIS, IN
ZIP 46236-101
Phone: (813) 730-8960

The NPI 1750757076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)

The enumeration date for this NPI number is 8/20/2015 and was last updated on 11/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1003990OREGONNo
2363LF0000XNurse PractitionerFamily71007270AINDIANAYes
3363LF0000XNurse PractitionerFamily28237767AOHIONo
4363LF0000XNurse PractitionerFamily2023038564MISSOURINo
5363LF0000XNurse PractitionerFamily883653NEVADANo
6363LF0000XNurse PractitionerFamilyAPRN9497550FLORIDANo
7363LF0000XNurse PractitionerFamily10911MINNESOTANo
8363LF0000XNurse PractitionerFamilyC-RXN.0101101-C-NPCOLORADONo
9363LF0000XNurse PractitionerFamily4008679KENTUCKYNo
10363LF0000XNurse PractitionerFamily53-82580-082KANSASNo
11363LF0000XNurse PractitionerFamily61654547WASHINGTONNo
12363LF0000XNurse PractitionerFamily358318NEW YORKNo
13363LF0000XNurse PractitionerFamily14590-33WISCONSINNo
14363LF0000XNurse PractitionerFamilyA176453IOWANo
15363LF0000XNurse PractitionerFamily209013163ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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