MAKENZIE LYNN ABBOTT (NPI# 1003436585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003436585 |
| Entity Type | Individual |
| Full Name | MAKENZIE LYNN ABBOTT |
| Credential | PA-C |
| Practice Address |
901 S National Ave Springfield MO 65897-0027 |
| Mailing Address |
904 E Colgate St Bolivar MO 65613-2723 |
| Practice Telephone | 4178366151 |
| Mailing Telephone | 5736947647 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2020007089 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65897-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291747 | Ivan Eugene Milton | Specialist/Technologist | 901 S National Ave, Springfield, MO 65804-0027 | 2005-08-02 |
| 1285245613 | Bailee Nicole Mcafee | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-08-10 |
| 1942828256 | Abigail Bjerken | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-07-13 |
| 1316561152 | Alexandra Marie Woody | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-06-07 |
| 1720610256 | Jill Ashley Trotman | Dietitian, Registered | 901 S National Ave, Springfield, MO 65897-0027 | 2020-02-12 |
| 1487213898 | Amanda Marie Bouchey I | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0001 | 2019-06-10 |
| 1114586567 | Malik Riley | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-06-10 |
| 1083273445 | Kelli Michele Jones | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-06-10 |
| 1417412883 | Madison Marie Cronin-burroughs | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-02-09 |
| 1497210124 | Bayli Lenn Galeassi | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1215597208 | Jangsoo Kim | Student in an Organized Health Care Education/Training Program | 901 S National Ave., Springfield, MO 65897 | 2019-06-20 |
| 1104912542 | Filip John Garrett | Family Medicine | 901 S Nationa Ave, Springfield, MO 65897 | 2006-10-05 |
| 1043306483 | Lawrence Sylvester Shields | Family Medicine | 901 South National Ave, Springfield, MO 65897 | 2006-10-05 |
| 1750469102 | Susan Wilson Essman | Family Medicine | 901 South National Avenue, Springfield, MO 65897 | 2006-11-02 |
| 1073600334 | Missouri State University | Psychologist | 715 S Florence, Springfield, MO 65897 | 2006-10-06 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1508321092 | Jacob Hawkins | Specialist/Technologist | 901 S National Prof 160 Department of Sports Medicine, Springfield, MO 65897-0001 | 2019-02-08 |
| 1942764311 | Tameka Stennis | Specialist/Technologist | 901 South National Professional Building, Springfield, MO 65897-0001 | 2019-01-29 |
| Find all providers in zip 65897 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65897 |
Please comment or provide details below to improve the information on MAKENZIE LYNN ABBOTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.