JENNIFER ANN MACKEY (NPI# 1679081574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679081574 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN MACKEY |
| Credential | APRN |
| Practice Address |
1130 S Main St Englewood OH 45322-2819 |
| Mailing Address |
3170 Kettering Blvd Building B, 3rd Floor Moraine OH 45439-1924 |
| Practice Telephone | 9372086879 |
| Practice Fax Number | 9372086886 |
| Mailing Telephone | 9379913186 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.021227 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6700 Commerce Center Dr, Dayton, OH 454142672 | 9374786389 | |
| 752 N Main St, Springboro, OH 450668944 | 9372086865 | 9372086868 |
| 8 Prestige Plaza Dr Ste 107, Miamisburg, OH 453427304 | 9372086871 | 9372086874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861048258 | Jennifer Mackey | Behavior Technician | 3233 Sabino Canyon St, Las Vegas, NV 89129-6106 | 2019-08-13 |
| 1730618711 | Jennifer P Mackey | Transportation Broker | 425 Rayford Rd Apt 324, Spring, TX 77386-3562 | 2017-06-05 |
| 1407305964 | Jennifer Mackey | Chiropractor | 25626 Northwest Fwy, Ste. 700, Cypress, TX 77429-1463 | 2016-09-26 |
| 1013321835 | Jennifer K Mackey | Nurse Practitioner | 6770 Mayfield Rd # 421, Hc40, Mayfield Heights, OH 44124-2299 | 2014-06-19 |
| 1003055070 | Jennifer Mackey | Speech-Language Pathologist | 301 Clapp Rd, Scituate, MA 02066-3003 | 2009-02-13 |
| 1497866875 | Jennifer Lee Mackey | Dentist | 423 Long Hill Rd, Groton, CT 06340-3812 | 2006-08-31 |
| 1235571423 | Jennifer Mackey | Dentist | 1739 N Ocean Ave, Ste D, Medford, NY 11763-2683 | 2013-07-29 |
| 1851736607 | Jennifer K Mackey | Counselor | 714 S Hillside St, Wichita, KS 67211-3002 | 2013-05-07 |
| 1548489578 | Jennifer E Mackey | Emergency Medicine | 750 E Adams St, Emergency Medicine, Syracuse, NY 13210-2306 | 2007-04-25 |
| Street Address |
1130 S MAIN ST |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45322-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1184181372 | Arianna Genovesi | Health Educator | 885 North Union Road, Englewood, OH 45322 | 2019-02-25 |
| 1740768803 | Michelle Mitchell | Nurse Practitioner | 6700 Commerce Center Drive, Vandalia, OH 45322 | 2018-08-01 |
| 1306260500 | Bonni Buchanan | Contractor | 3540 Artistic Court, Englewood, OH 45322 | 2014-02-07 |
| 1821246745 | Nancy G Osborn | Physical Therapy Assistant | 425 Lauricella Ct., Englewood, OH 45322 | 2008-09-04 |
| 1598936452 | Samaritan Family Care Inc | Clinical Nurse Specialist | 885 Union Road, Englewood, OH 45322 | 2008-03-19 |
| 1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1508953548 | David M Kreusch Dc Corp | Chiropractor | 5 Jefferson Street, Englewood, OH 45322 | 2006-10-10 |
| 1043328529 | Louis J Vitangeli | Dentist | 320 Union Blvd, Englewood, OH 45322 | 2006-08-26 |
| Find all providers in zip 45322 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495821 | Jawana Lynn Watson | Nurse Practitioner | 307 Kristina Lynn Pl, Englewood, OH 45322-2354 | 2020-04-07 |
| 1003449737 | Michelle May Roe | Nurse Practitioner | 21 Oakland St, Englewood, NJ 07631-2112 | 2020-02-21 |
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1619518453 | Theresa Carol Lee | Nurse Practitioner | 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 | 2019-10-02 |
| 1194373977 | Jane Uloma Ibe | Nurse Practitioner | 4018 Clearstream Way, Englewood, OH 45322-1458 | 2019-08-26 |
| 1932768330 | Laurie Ann Cucco | Nurse Practitioner | 3302 Riverview Ave, Englewood, NJ 07631-8720 | 2019-06-10 |
| 1326522848 | Quynh Doan | Nurse Practitioner | 2828 S Mccall Rd Ste 8, Englewood, FL 34224-9516 | 2018-09-20 |
| 1669998464 | Jennifer Diane Novotny | Nurse Practitioner | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2017-08-14 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1851844211 | Sm Medical LLC | Nurse Practitioner | 1008 Sunset Dr, Englewood, OH 45322-2253 | 2016-08-02 |
| Find all providers in ENGLEWOOD | ||||
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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.