Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John T Mallery, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558613828

John T Mallery, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Alexandria, Virginia. Qualified in 2012, 14 years ago. Practices with Youngs Professional Services LLC, a 294-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Virginia.

Years since qualifying
14
Licensed in
LA, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4320 Seminary Rd Dept OF Anesthesia
Alexandria, VA 22304-1535
Phone: (703) 504-3789
Fax: (703) 295-9369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 — (337) 470-2574

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024170473 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP07967 (LA)

Record details

NPI number1558613828
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 10, 2012
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Youngs Professional Services Llc — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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