MACKENZIE FULLERTON (NPI# 1194384248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194384248 |
| Entity Type | Individual |
| Full Name | MACKENZIE FULLERTON |
| Credential | ARNP |
| Practice Address |
411 Laurel St Ste A120 Des Moines IA 50314-3027 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5152241777 |
| Practice Fax Number | 5152256750 |
| Mailing Telephone | 5152241777 |
| Mailing Fax Number | 5152256750 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | H154519 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
411 LAUREL ST STE A120 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408548 | Maxwell S Cosmic | Internal Medicine | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2005-12-19 |
| 1710502240 | Rebecca E Hutchinson | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2020-06-10 |
| 1972137487 | Lindsey Klunder | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2020-02-24 |
| 1679118756 | Laura Sampson | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-11-12 |
| 1205477684 | Jenny Mackrill | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-10-07 |
| 1336796663 | Andrew William Miller | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-08-21 |
| 1932672920 | Jillana Lynn Lefler | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-01-02 |
| 1003313750 | Rachael M. Doty | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2018-04-10 |
| 1831549047 | Sarah Springer | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2016-06-18 |
| 1932596541 | Kelli J. Gear | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681523 | Sound Healthworks LLC | Nurse Practitioner | 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 | 2020-08-28 |
| 1902381544 | Brooke Elizabeth Dannen | Nurse Practitioner | 411 Laurel St Ste A300, Des Moines, IA 50314-3030 | 2018-09-29 |
| 1992103709 | Suellen Marsh | Nurse Practitioner | 1111 6th Ave Ste W306, Des Moines, IA 50314-2610 | 2014-12-10 |
| 1063740553 | Megan Kathleen Oconner | Nurse Practitioner | 1540 High Street, Suite 101, Des Moines, IA 50309-3108 | 2009-11-23 |
| 1588712079 | Melanie Porter | Nurse Practitioner | 979 Oakridge Dr, Des Moines, IA 50314-2102 | 2007-01-08 |
| 1790858330 | Linda Mosier | Nurse Practitioner | 1808 42nd St, Des Moines, IA 50310-3315 | 2006-11-15 |
| 1205943842 | Jacqueline Yvon Perkins | Nurse Practitioner | 603 E 12th St, 5th Floor, Des Moines, IA 50309-5515 | 2006-08-23 |
| 1972564938 | Shari J Stone | Nurse Practitioner | 1530 E Euclid Ave Ste 100, Des Moines, IA 50313-4726 | 2006-03-30 |
| 1508837667 | Janae Dawn Brown | Nurse Practitioner | 2103 Ingersoll Ave, Des Moines, IA 50312 | 2006-01-27 |
| 1578548293 | Lizabeth Marie Price | Nurse Practitioner | 6200 Aurora Ave, Des Moines, IA 50322-2800 | 2005-12-15 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on MACKENZIE FULLERTON.
| 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.