LINDSAY OLSON MACK (NPI# 1528330495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528330495 |
| Entity Type | Individual |
| Full Name | LINDSAY OLSON MACK |
| Credential | NP |
| Practice Address |
230 Prospect Pl Ste 340b Coronado CA 92118-1991 |
| Practice Telephone | 6195224000 |
| Practice Fax Number | 6194350150 |
| Mailing Telephone | 6195224000 |
| Mailing Fax Number | 6194350150 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP21588 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
230 PROSPECT PL STE 340B |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-1991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381004 | Neal Patrick Ridge | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-01-24 |
| 1891290383 | Rebecca Dillen | Nurse Practitioner | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2018-03-27 |
| 1013368752 | Sharp Healthcare | General Practice | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2016-06-23 |
| 1508266727 | Gregory Hammett | Internal Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2014-08-25 |
| 1538479753 | Lynn D Berger | Registered Nurse | 230 Prospect Pl Ste 340b, Coronado, CA 92118 | 2010-10-21 |
| 1689837742 | Jenny Wong | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2008-07-08 |
| 1538213277 | Sadaf Ilyas | Physician Assistant | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2007-01-22 |
| 1144384678 | Rosalind Fenton | Nurse Practitioner | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-12-20 |
| 1982783379 | Kenneth Warm | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-11-04 |
| 1548343999 | Coronado Medical Group, Inc. | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| 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 |
|---|---|---|---|---|
| 1831604008 | Katherine Hall | Nurse Practitioner | 131 Orange Ave # 101, Coronado, CA 92118-1408 | 2017-12-08 |
| 1093280588 | Obel Borrajero | Nurse Practitioner | 250 Prospect Pl, Coronado, CA 92118-1943 | 2018-10-10 |
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|---|---|---|---|---|
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| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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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.