MACKENZIE THAYER (NPI# 1053818252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053818252 |
| Entity Type | Individual |
| Full Name | MACKENZIE THAYER |
| Credential | MD |
| Practice Address |
205 Wabasha St S Saint Paul MN 55107-1805 |
| Mailing Address |
420 Delaware St Se Minneapolis MN 55455-0341 |
| Practice Telephone | 6123013417 |
| Practice Fax Number | 6512938293 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-12-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
205 WABASHA ST S |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184078 | Chokchai Chareandee | Internal Medicine | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2005-06-14 |
| 1699334904 | Jessica Determan | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2019-06-10 |
| 1326517541 | Julian Andres Larrea Saavedra | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-11-16 |
| 1215436076 | Mardiya Kassim Jaffer | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-02-07 |
| 1023522877 | Samantha Zarske | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-11-30 |
| 1184134173 | Ghada Elnashar | Pharmacist | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-10-04 |
| 1972022267 | Allison Brooks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-09-18 |
| 1982132536 | Erin Galegher | Advanced Practice Midwife | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-05-26 |
| 1679016000 | Juliana Huber | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2016-12-03 |
| 1386006773 | Betsy Dickson | Obstetrics & Gynecology | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| 1366819609 | Brittany Leach | Advanced Practice Midwife | 624 Smith Ave S, Saint Paul, MN 55107 | 2015-08-21 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| 1669094538 | Jessie Mae Juenemann | Student in an Organized Health Care Education/Training Program | 1412 Taylor Ave W, Saint Paul, MN 55104-1329 | 2020-05-13 |
| 1043830896 | Lorenzo Angelo Pavoloni | Student in an Organized Health Care Education/Training Program | 1970 Bohland Ave, Saint Paul, MN 55116-1909 | 2020-04-22 |
| 1396384418 | Meagan Nicole Brockman | Student in an Organized Health Care Education/Training Program | 388 Snelling Ave S, Saint Paul, MN 55105-2142 | 2020-01-06 |
| 1386283000 | Anna Boyd | Student in an Organized Health Care Education/Training Program | 808 Berry St Apt 481, Saint Paul, MN 55114-1380 | 2019-12-27 |
| 1811535362 | Hanna Elizabeth Erickson | Student in an Organized Health Care Education/Training Program | 1514 Chelsea St, Saint Paul, MN 55108-2310 | 2019-12-16 |
| 1255977377 | Kao Youa Lee | Student in an Organized Health Care Education/Training Program | 1692 Maryland Ave E, Saint Paul, MN 55106-2941 | 2019-11-24 |
| 1245876796 | Michael Kittok | Student in an Organized Health Care Education/Training Program | 1274 Sherburne Ave, Saint Paul, MN 55104-2529 | 2019-11-19 |
| 1750944773 | Terrell Messerly | Student in an Organized Health Care Education/Training Program | 750 Otto Ave Unit 2236, Saint Paul, MN 55102-5042 | 2019-04-16 |
| 1205397015 | Taylor Christine Millikan | Student in an Organized Health Care Education/Training Program | 640 Jackson Street - Mail Stop 11109e, Saint Paul, MN 55101-2502 | 2019-03-26 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
Please comment or provide details below to improve the information on MACKENZIE THAYER.
| 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.