MACKENZIE SHIELDS HODAK (NPI# 1760955934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760955934 |
| Entity Type | Individual |
| Full Name | MACKENZIE SHIELDS HODAK |
| Credential | DNP, CRNP |
| Practice Address |
120 Lytton Ave Ste M060 Pittsburgh PA 15213-1481 |
| Mailing Address |
2001 Black Bear Way Bridgeville PA 15017-3811 |
| Practice Telephone | 4126926677 |
| Practice Fax Number | 4126928584 |
| Mailing Telephone | 7247474690 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP019390 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 LYTTON AVE STE M060 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841439189 | Yukiko Giho | Nurse Practitioner | 120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481 | 2009-02-10 |
| 1962919357 | Alexis Myers | Nurse Practitioner | 120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481 | 2018-01-07 |
| 1093179541 | Paula N Goldman | Family Medicine | 120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481 | 2016-04-11 |
| 1962793026 | Orquidia Torres | Pediatrics | 120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1063019974 | Lynne Ann Cipriani | Nurse Practitioner | 28 Stancey Rd, Pittsburgh, PA 15220-1724 | 2020-10-04 |
| 1538766589 | Abbigail Marie Linton | Nurse Practitioner | 4800 Friendship Ave Ste 322, Pittsburgh, PA 15224-1722 | 2020-10-02 |
| 1225643596 | Olusola Awokoya | Nurse Practitioner | 670 Lougeay Rd, Pittsburgh, PA 15235-4507 | 2020-09-13 |
| 1124631379 | William Allen Penney | Nurse Practitioner | 1542 Rutherford Ave, Pittsburgh, PA 15216-3364 | 2020-08-27 |
| 1235740457 | Teika Takedai | Nurse Practitioner | 106 Morrison Dr, Pittsburgh, PA 15216-1100 | 2020-08-11 |
| 1770194128 | Kimberly Alonso | Nurse Practitioner | 3347 Brownsville Rd # 2, Pittsburgh, PA 15227-2722 | 2020-08-10 |
| 1740890631 | Lindsay Johnston | Nurse Practitioner | 134 Kentzel Rd, Pittsburgh, PA 15237-2816 | 2020-08-05 |
| 1700496098 | Dana Pfoff | Nurse Practitioner | 1532 Ingomar Heights Rd, Pittsburgh, PA 15237-1607 | 2020-08-03 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on MACKENZIE SHIELDS HODAK.
| 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.