CHRISTINE M MACKINNON


Address: 1200 7th Ave N, St Petersburg, FL 33705-1300
Phone: 7278251493

CHRISTINE M MACKINNON (NPI# 1427303270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427303270
Entity Type Individual
Full Name CHRISTINE M MACKINNON
Credential PA
Practice Address 1200 7th Ave N
St Petersburg
FL 33705-1300
Mailing Address 3629 El Camino Ct
Largo
FL 33771-2779
Practice Telephone 7278251493
Mailing Telephone 7576514849
Enumeration Date 2012-07-18
Last Update Date 2018-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9110833 FL Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
0110003933 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4092 Foxwood Dr, Ste 101, Virginia Beach, VA 234625225 7576863508 7576860541

Office Location

Street Address 1200 7TH AVE N
City ST PETERSBURG
State FL
Zip Code 33705-1300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001742 Robert V Mcjennett Emergency Medicine 1200 7th Ave N, St Petersburg, FL 33705-1300 2005-05-24
1811598998 Emily Matson Registered Nurse 1200 7th Ave N, St Petersburg, FL 33705-1300 2020-11-04
1477152346 Vu T Duong Nurse Practitioner 1200 7th Ave N, St Petersburg, FL 33705-1300 2020-10-21
1699399691 Charteye Hawkins Registered Nurse 1200 7th Ave N, St Petersburg, FL 33705-1300 2020-06-04
1881216620 Mary-charlotte Bardin Registered Nurse 1200 7th Ave N, St Petersburg, FL 33705-1388 2020-05-14
1891336160 Jason Burgun Nurse Practitioner 1200 7th Ave N, St Petersburg, FL 33705-1300 2019-10-08
1356982136 Jordan Leigh Smith Registered Nurse 1200 7th Ave N, St Petersburg, FL 33705-1300 2019-10-03
1902447733 Laura Nicole Setzer Anesthesiology 1200 7th Ave N, St Petersburg, FL 33705-1300 2019-10-02
1396392676 Dionne S Reid Nurse Practitioner 1200 7th Ave N, St Petersburg, FL 33705-1300 2019-08-21
1639640832 Adriana Isabel Larrea Nurse Anesthetist, Certified Registered 1200 7th Ave N, St Petersburg, FL 33705-1300 2018-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558969378 Odalys Caro Physician Assistant 6500 20th St N, St Petersburg, FL 33702-7112 2020-10-14
1417587106 Hannah Newman Physician Assistant 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 2020-01-22
1740752526 Michelle Ciesla Physician Assistant 2640 14th Ave N, St Petersburg, FL 33713-5813 2018-12-18
1205328978 Alfredo Jose Gotera Avila Physician Assistant 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 2018-05-30
1578074043 Ekta H Patel Physician Assistant 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 2017-10-23
1225495526 Kelly Marie Egan Physician Assistant 2736 4th Ave N, St Petersburg, FL 33713-7824 2016-01-19
1992125264 Casie J Parker Physician Assistant 603 7th Street S, Ste 540, St Petersburg, FL 33701 2014-04-24
1407174824 Gina Mendez Physician Assistant 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 2010-05-10
1588990063 Garrett A Babbs Physician Assistant 1344 22nd St South, St Petersburg, FL 33712 2009-10-19
1720211725 Christina Marie Tomasino Physician Assistant 3140 9th Ave N, St Petersburg, FL 33713-6626 2009-08-25
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Competitor

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City ST PETERSBURG
Zip Code 33705

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Dataset Information

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.

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