MCKENZIE MATTINGLY (NPI# 1619337920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619337920 |
| Entity Type | Individual |
| Full Name | MCKENZIE MATTINGLY |
| Practice Address |
2200 E Parrish Ave Bldg B Ste 101 Owensboro KY 42303-1449 |
| Practice Telephone | 2706833232 |
| Mailing Telephone | 2706833232 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3010168 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 E PARRISH AVE BLDG B STE 101 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960483 | David M Eggers | Specialist | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303-1449 | 2005-05-24 |
| 1124520986 | Tara Clark | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2018-03-07 |
| 1972025617 | Brittany Renae Winn Mckinley | Dentist | 2200 E Parrish Ave, Building C, Suite 102, Owensboro, KY 42303 | 2017-07-14 |
| 1639618283 | Almost Family PC of Kentucky, LLC | Nursing Care | 2200 E Parrish Ave, Bldg E., Suite 202, Owensboro, KY 42303-1449 | 2017-02-15 |
| 1700338290 | Janet Rowland | Dentist | 2200 E Parrish Ave, Building C, Suite 201, Owensboro, KY 42303-1449 | 2016-10-31 |
| 1710437165 | Claire Stevenson | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2016-10-10 |
| 1003295783 | Allied Physician Group LLC | Clinic/Center | 2200 E Parrish Ave, Building A, Owensboro, KY 42303-1449 | 2015-05-27 |
| 1811380652 | Adair Elizabeth Price | Physician Assistant | 2200 E Parrish Ave, Bldg B Ste 101, Owensboro, KY 42303-1449 | 2015-03-17 |
| 1467843250 | Dermatology Center of Owensboro Pllc | Dermatology | 2200 E Parrish Ave, Bld E Ste 205, Owensboro, KY 42303-1449 | 2015-02-15 |
| 1861890337 | Megan Rae Burch | Nurse Practitioner | 2200 E Parrish Ave, Suite 201b, Owensboro, KY 42303-1449 | 2014-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033603 | Kevin Pinto | Nurse Practitioner | 2200 E Parrish Ave Ste 101, Owensboro, KY 42303-1449 | 2020-05-06 |
| 1740681337 | Kristen Nicole Riley | Nurse Practitioner | 1000 Breckenridge St Ste 301, Owensboro, KY 42303-0877 | 2014-09-15 |
| 1154661569 | Owensboro Health Medical Group, Inc | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2013-02-21 |
| 1609141589 | Sarah D. Osborne | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-03-12 |
| 1609143346 | Micah Ashley Price | Nurse Practitioner | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2011-11-23 |
| 1699789271 | Tracy Dawn Logsdon | Nurse Practitioner | 2200 E Parrish Ave, Suite 101 Bldg B, Owensboro, KY 42303-1449 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1639681992 | Jazmine Gabrielle Yates | Nurse Practitioner | 1330 S Mayo Trl Ste 201, Pikeville, KY 41501-2321 | 2017-10-26 |
| 1003335050 | Kathryn Alexis Perkins | Nurse Practitioner | 1016 Town Dr, Highland Heights, KY 41076-9753 | 2017-09-11 |
| 1386194447 | Morgan Chojnacki | Nurse Practitioner | Kentucky Clinic Pediatric High Bmi Clinic, 740 S. Limestone 2nd Floor Wing D, Lexington, KY 40536 | 2016-10-12 |
| 1811374887 | Hannah Lynn Puntney | Nurse Practitioner | 800 Rose St. Ms 235, Lexington, KY 40536 | 2015-04-29 |
| 1184016685 | Amy Verst | Nurse Practitioner | 1501 Burnley Rd, Scottsville, KY 42164-9693 | 2015-02-20 |
| 1326454448 | Madisonville Pediatrics | Nurse Practitioner | 15 N Harrig St, Madisonville, KY 42431-2123 | 2014-07-09 |
| 1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
| 1467789974 | Amanda Faith Dressman | Nurse Practitioner | 1780 Nicholasville Rd Ste 301, Lexington, KY 40503-1413 | 2009-11-05 |
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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.