KIMBERLY DIANE MACKAY


Address: 1 Childrens Pl Ofc 6100, Saint Louis, MO 63110-1002
Phone: 3414545437

KIMBERLY DIANE MACKAY (NPI# 1730727314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730727314
Entity Type Individual
Full Name KIMBERLY DIANE MACKAY
Credential NNP
Practice Address 1 Childrens Pl Ofc 6100
Saint Louis
MO 63110-1002
Mailing Address 247 Rainbow Dr # 14790
Livingston
TX 77399-2047
Practice Telephone 3414545437
Mailing Telephone 9362231329
Enumeration Date 2019-12-14
Last Update Date 2019-12-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
2019044077 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY MACKAY

NPI Name Taxonomy Address Enumeration
1578915997 Kimberly Mackay Social Worker 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2016-07-09
1811388606 Kimberly Mackay Pharmacist 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2015-02-15

Office Location

Street Address 1 CHILDRENS PL OFC 6100
City SAINT LOUIS
State MO
Zip Code 63110-1002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578914586 Robin Wolf Nurse Practitioner 740 Francis Pl, Saint Louis, MO 63105-2462 2016-06-30
1467617894 Tammy Carol Lentz Nurse Practitioner 615 S Ballas Rd, Saint Louis, MO 63122-5314 2008-07-24
1164036851 Andrea Bumb Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-09-01
1235741513 Shannon Ries Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-08-19
1760038343 Holly Brethorst Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2019-08-10
1730732629 Jessica Cook Nurse Practitioner 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2019-07-19
1316418916 Whitney Rae Schmale Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2018-12-09
1366910945 Sarah Thai Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2018-11-13
1114402724 Nadia Gillette Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1081 2018-09-28
1306358171 Tiffany Michelle Perraut Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2017-11-01
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

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.

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