MRS. MARA LANE MCKINLEY (NPI# 1518244912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518244912 |
| Entity Type | Individual |
| Full Name | MRS. MARA LANE MCKINLEY |
| Credential | NP-C |
| Practice Address |
1465 E. Parkdale Ave3. Manistee MICHIGAN 49660 UM |
| Mailing Address |
2442 White Rd Frankfort MI 49635-9460 |
| Practice Telephone | 2313981590 |
| Mailing Telephone | 2313525055 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704167176 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1465 E. PARKDALE AVE3. |
| City | MANISTEE |
| State | MICHIGAN |
| Zip Code | 49660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| 1790837839 | Blythe A Odonnell | Dentist | 812 Cypress Street, Manistie, MI 49660 | 2007-01-17 |
| Find all providers in zip 49660 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104323062 | Jennifer Rebecca Dalton | Nurse Practitioner | 1500 Caberfae Hwy, Manistee, MI 49660-8902 | 2018-04-09 |
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1053874792 | Jesse Leah Keson | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-04-10 |
| 1225529019 | Keri Ann Foster | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2018-05-29 |
| 1023529260 | Tracy Robinson | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2017-10-16 |
| 1700305661 | Renee Dorr | Nurse Practitioner | 2840 Orchard Hwy, Manistee, MI 49660-9754 | 2017-09-12 |
| 1194139527 | Stacey Bonecutter | Nurse Practitioner | 1806 E Parkdale Ave, Ste 3, Manistee, MI 49660-9364 | 2014-06-13 |
| 1508132333 | Lisa Gay Hurley | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2012-03-27 |
| 1326361619 | Melissa Ann Fleszar | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2010-03-01 |
| 1902845795 | Stephanie Ann Smart | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2006-06-06 |
| Find all providers in MANISTEE | ||||
Please comment or provide details below to improve the information on MRS. MARA LANE MCKINLEY.
| 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.