COURTNEY MACKRELL (NPI# 1720623523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720623523 |
| Entity Type | Individual |
| Full Name | COURTNEY MACKRELL |
| Credential | CRNP |
| Practice Address |
114 Lt Michael Cleary Dr Dallas PA 18612-1649 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5706752000 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP020605 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020605 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
114 LT MICHAEL CLEARY DR |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063472389 | Michael A. Kovalick | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2006-03-23 |
| 1184260184 | Lindsay Theresa Denion | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2019-11-25 |
| 1962944041 | Mallory Turner | Physician Assistant | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2016-11-07 |
| 1598113045 | Raymond Alan Besecker | Pharmacist | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2016-05-25 |
| 1609220961 | Kathryn Olivia Gussman | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2016-04-22 |
| 1023407244 | Aimee Detweiler | Nurse Practitioner | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2015-01-12 |
| 1881946770 | Lindsay Margaret Stavish | Physician Assistant | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2012-10-03 |
| 1679820583 | Matthew George Perry | Physician Assistant | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2012-08-09 |
| 1912262759 | Matthew Evan Joseph | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2012-07-09 |
| 1649568403 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2011-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| 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 |
|---|---|---|---|---|
| 1487274304 | Arlena Culpepper Guzy | Nurse Practitioner | 900 Jackson St Ste 350, Dallas, TX 75202-4486 | 2020-04-21 |
| 1689205056 | Lauren Ashley Gore | Nurse Practitioner | 7777 Glen America Dr Apt 330, Dallas, TX 75225-1839 | 2020-02-03 |
| 1508402405 | Bailey Mcgee | Nurse Practitioner | 2901 Indiana Blvd Apt 356, Dallas, TX 75226-1543 | 2019-11-26 |
| 1235790288 | Julie Mills Struble | Nurse Practitioner | 3607 Oak Lawn Ave Unit 280, Dallas, TX 75219-4743 | 2019-06-20 |
| 1689238339 | Katherine O'connor | Nurse Practitioner | 6300 Harry Hines Blvd Fl 6, Dallas, TX 75235-5259 | 2019-04-29 |
| 1033678792 | Sandra Beverley Burrell-spence | Nurse Practitioner | 41 Riders Rdg, Dallas, GA 30132-8399 | 2019-03-12 |
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1841701984 | Tam Numinh Tran | Nurse Practitioner | 17370 Preston Rd Ste 412, Dallas, TX 75252-5611 | 2017-10-16 |
| 1356852784 | Dallas County Hospital District | Nurse Practitioner | 1822 Young St, Dallas, TX 75201-5612 | 2017-10-12 |
| 1497274294 | Kelly Beth Caldwell | Nurse Practitioner | 6301 Gaston Ave Ste 100, Dallas, TX 75214-3922 | 2017-09-12 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on COURTNEY MACKRELL.
| 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.