Mallory Rae Hartman · Student in an Organized Health Care Education/Training Program

1836 South Ave, La Crosse, WI 54601-5429

Overview

Mallory Rae Hartman is a Student in an Organized Health Care Education/Training Program practicing in La Crosse, Wisconsin. The National Provider Identifier (NPI) is #1508709262, which was assigned on April 9, 2026, and the registration record was last updated on April 9, 2026. The practitioner's main practice location is at 1836 South Ave, La Crosse, WI 54601-5429; the contact telephone number is 6087827300. The primary taxonomy of Mallory Rae Hartman is Student in an Organized Health Care Education/Training Program (390200000X).

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Information

NPI 1508709262
Entity Type Individual
Provider Name MALLORY RAE HARTMAN
Gender Female
Credential MD
Practice Address 1836 South Ave
La Crosse
WI 54601-5429
Practice Telephone 6087827300
Mailing Address 1836 South Ave
La Crosse
WI 54601-5429
Certification Date 2026-04-09
Enumeration Date 2026-04-09
Last Update Date 2026-04-09
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y390200000XStudent in an Organized Health Care Education/Training Program

Taxonomy Information

Primary Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Muhammad Haaris Zeb 593 Eddy St, Providence, RI 02903-4923Student in an Organized Health Care Education/Training Program2026-05-09
Felipe Antonio Ruiz Rodriguez 10 Calle Casia, San Juan, PR 00921-3201Student in an Organized Health Care Education/Training Program2026-05-09
Rebecca Daeun Kim 5323 Harry Hines Blvd, Dallas, TX 75390-9006Student in an Organized Health Care Education/Training Program2026-05-09
Deyaaldeen Shatnawi 1200 Childrens Ave, Oucp 14000, Oklahoma City, OK 73104-4637Student in an Organized Health Care Education/Training Program2026-05-09
Evangeline Gilmer 5323 Harry Hines Blvd, Dallas, TX 75390-9006Student in an Organized Health Care Education/Training Program2026-05-09
Xinyang Li 240 S 40th St, Philadelphia, PA 19104-6030Student in an Organized Health Care Education/Training Program2026-05-09
Arianna Sarah Moss 593 Eddy St, Providence, RI 02903-4923Student in an Organized Health Care Education/Training Program2026-05-09
Marilyn Santacruz 550 1st Ave, New York, NY 10016-6402Student in an Organized Health Care Education/Training Program2026-05-09
Ryan Endo Shimogaki 5460 E La Palma Ave, Anaheim, CA 92807-2023Student in an Organized Health Care Education/Training Program2026-05-09
Heather Alecia Hatzis 100 Ochre Point Ave, Newport, RI 02840-4192Student in an Organized Health Care Education/Training Program2026-05-09
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Location Information

Street Address 1836 SOUTH AVE
City LA CROSSE
State WI
Zip Code 54601-5429
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Courtney Jane Maire 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-13
Jenni Lee Ebersberger 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-06
Emily Clare Gibson 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-18
Bryce Erbe 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-14
Monica Kramer 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-28
Nadia Jean King 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-06
Alexi Wall 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-14
Micah Madsen 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-06
Elias August Wojahn 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-06
Nicholas John Dovorany 1836 South Ave, La Crosse, WI 54601-5429Student in an Organized Health Care Education/Training Program2026-04-07
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Liza R Collins 1415 State Wi 16, La Crosse, WI 54601Massage Therapist2020-02-11
Veronica Gayle Spencer 4000 Wi-16, Valley View Mall Annex, La Crosse, WI 54601Audiologist2019-05-16
Leon George Schlesser 900 West Avenue South, Lacrosse, WI 54601Pharmacist2011-11-14
Chelsea Heil 1301 East Ave S, La Crosse, WI 54601Physical Therapy Assistant2021-10-03
Counseling Associates 115 5th Ave South, Suite 301, Lacrosse, WI 54601Multi-Specialty Clinic/Center2010-07-29
Scott Eppley 1900 South Avenue, Department of Pharmacy, Mailstop Lml-001, La Crosse, WI 54601Pharmacist2024-09-03
Denise Stinson 1311 Badger St, Apt 505, La Crosse, WI 54601Attendant Care Provider2020-03-06
Maddisen Payge Long-Pero 1725 State Street, 4051 Health Science Center, La Crosse, WI 54601Basic Emergency Medical Technician2020-03-30
Emily Porter 115 5th Ave S Ste 507, La Crosse, WI 54601Mental Health Counselor2019-05-29
Gina Kiefer 4000 State Road 16 - Valley View Mall Annex, La Crosse, WI 54601Ambulatory Care Registered Nurse2019-11-12
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Daniel L Hartman 410 N 1st St Ste A, Hamilton, MT 59840-2506Massage Therapist2026-02-27
Nicole Hartman 213 Hornaday Rd, Pittsburgh, PA 15210-4221Counselor2026-05-09
Lisa Hartman 1601 E Chestnut Ave, Santa Ana, CA 92701-6322Clinical Social Worker2026-04-03
Kali Hartman 9801 Belvedere Rd, Royal Palm Beach, FL 33411-3640Physician Assistant2026-02-13
Andrea Hartman 2925 Debarr Rd Ste 240, Anchorage, AK 99508-2959Medical Physician Assistant2026-02-24
Patricia Hartman 114 E River St, Edgerton, OH 43517-9622Home Health Aide2026-03-24
Joseph Hartman 28 N East St, Greenfield, IN 46140-2167Mental Health Counselor2026-03-12
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.