KIMBERLY D MACKEY (NPI# 1205256500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205256500 |
| Entity Type | Individual |
| Full Name | KIMBERLY D MACKEY |
| Credential | MS, LIMHP, LMHP, LPC |
| Practice Address |
Boys Town National Research Hospital Rtc2 14092 Hospital Road Boys Town NE 68010 |
| Practice Telephone | 5313555409 |
| Practice Fax Number | 5313555499 |
| Mailing Telephone | 5313555409 |
| Mailing Fax Number | 5313555499 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 4921 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1714 | NE | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2350 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376883884 | Kimberly Alison Mackey | Physician Assistant | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-02-20 |
| 1952533739 | Kimberly A Mackey | Neurological Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2009-08-13 |
| Street Address |
BOYS TOWN NATIONAL RESEARCH HOSPITAL RTC2 14092 HOSPITAL ROAD |
| City | BOYS TOWN |
| State | NE |
| Zip Code | 68010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1689053456 | Jennifer Inbarasu | Psychiatry & Neurology | 14092 Boys Town Hospital Rd, Boys Town, NE 68010 | 2015-05-26 |
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1598820912 | Shelly L Nykodym | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1548873656 | Carolyn Romano | Pharmacist | 14000 Hospital Road, Boys Town, NE 68010 | 2020-08-28 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| 1932667482 | Marissa Thomas | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-04 |
| Find all providers in zip 68010 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1396269726 | Father Flanagan's Boys Home | Counselor | 14188 Mother Teresa Ln, Boys Town, NE 68010-7554 | 2017-07-27 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| 1932667482 | Marissa Thomas | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-04 |
| 1184189615 | Angela Kay Hayden | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-02-08 |
| 1497232326 | Brooke Lillian Urzendowski | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2018-07-24 |
| 1598274177 | Janelle Lynn Nesbitt | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2017-09-26 |
| 1780101667 | Mary L Botkin | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2017-08-23 |
| 1649796673 | Amy Jo Hernbloom | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2017-08-22 |
| Find all providers in BOYS TOWN | ||||
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| 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.