AMY M MACKIE (NPI# 1568988616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568988616 |
| Entity Type | Individual |
| Full Name | AMY M MACKIE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3452 Genesys Pkwy Grand Blanc MI 48439-7334 |
| Mailing Address |
692 Shell Bark Ct Grand Blanc MI 48439-3306 |
| Practice Telephone | 8106066235 |
| Mailing Telephone | 8109386170 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704205609 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255667127 | Amy M Mackie | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2009-10-27 |
| Street Address |
3452 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321990 | Frank V Tilli | Internal Medicine | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2005-07-22 |
| 1528457900 | Genesys Practice Partners, Inc | Internal Medicine | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2015-01-22 |
| 1932496932 | Genesys Practice Partners,inc | Internal Medicine | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2011-06-29 |
| 1255624425 | Steven Dwight Brooks | Internal Medicine | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2011-05-22 |
| 1528273232 | Thomas Ernest Vanhecke | Internal Medicine | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2007-05-14 |
| 1194942243 | William L Rudberg Jr. | Physician Assistant | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2007-04-19 |
| 1336267723 | Karl Joseph Ilg | Internal Medicine | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2007-03-26 |
| 1740364124 | Lara M Davis | Physician Assistant | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2006-10-24 |
| 1003918103 | Rheannon Janell Mcdonald | Physician Assistant | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2006-09-01 |
| 1508968512 | Samantha Wright | Nurse Practitioner | 3452 Genesys Pkwy, Grand Blanc, MI 48439-7334 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385340 | Alanna Lynn Yapo | Nurse Practitioner | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2020-01-07 |
| 1679834758 | Rebecca Lynn Aaron | Nurse Practitioner | 8483 Holly Rd, Grand Blanc, MI 48439-1840 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on AMY M MACKIE.
| 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.