MACKENZIE ZUBER (NPI# 1609314194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609314194 |
| Entity Type | Individual |
| Full Name | MACKENZIE ZUBER |
| Credential | APN |
| Practice Address |
1200 N East St Olney IL 62450-2432 |
| Mailing Address |
800 E Locust St Olney IL 62450-2553 |
| Practice Telephone | 6183957340 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015566 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 N EAST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269384 | Cecilia Howell-canada | Pediatrics | 1200 N East St, Olney, IL 62450-2432 | 2005-07-14 |
| 1578108387 | Kelcey A Semple | Pharmacist | 1200 N East St, Olney, IL 62450-2432 | 2019-11-15 |
| 1427606920 | Destiny R Dannells | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2019-08-28 |
| 1932684313 | Kylie L Garbe | Nurse Practitioner | 1200 N East St, Olney, IL 62450 | 2018-10-01 |
| 1649754474 | Amanda Dillon | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-09-18 |
| 1548741960 | Stephanie Joann Greenwood | Counselor | 1200 N East St, Olney, IL 62450-2432 | 2018-08-23 |
| 1659857886 | Josette Jovero-clodfelter | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-07-11 |
| 1609385269 | Coles County Mental Health Association Inc | Community/Behavioral Health | 1200 N East St, Olney, IL 62450-2432 | 2017-09-27 |
| 1306397542 | Trenton Clapp | Physician Assistant | 1200 N East St, Olney, IL 62450-2432 | 2016-10-24 |
| 1609247931 | Emil Borowiak | Pharmacist | 1200 N East St, Olney, IL 62450 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725993 | Gloria Izore | Nurse Practitioner | 19101 Willow Grove Rd, Olney, MD 20832-1232 | 2020-03-19 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1710429618 | Gissel Sonnenbrot | Nurse Practitioner | 18101 Prince Philip Dr Ste 5100, Olney, MD 20832-1514 | 2016-11-08 |
| 1093032492 | Amanda Marie Beccaloni | Nurse Practitioner | 3225 Spartan Rd, Olney, MD 20832-2335 | 2010-04-23 |
| 1346876968 | Joseph Mann | Nurse Practitioner | 3110 Olney Sandy Spring Rd, Olney, MD 20832-1408 | 2020-03-15 |
| 1003467176 | Brandie Elliott | Nurse Practitioner | 100 S Avenue M, Olney, TX 76374-1642 | 2019-09-20 |
| 1427606920 | Destiny R Dannells | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2019-08-28 |
| 1568938090 | Affinity Family Health and Wellness, Pllc | Nurse Practitioner | 117 E Market St, Olney, IL 62450-2241 | 2018-10-23 |
| 1588181630 | Mandy Shaw | Nurse Practitioner | 3110 Olney Sandy Spring Rd, Olney, MD 20832-1408 | 2017-08-29 |
| 1952787400 | Lera Salvatierra Ison | Nurse Practitioner | 18111 Prince Philip Dr, Ste 300, Olney, MD 20832-1513 | 2015-08-07 |
| Find all providers in OLNEY | ||||
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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.