MACKENZIE B WALKER (NPI# 1851869291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851869291 |
| Entity Type | Individual |
| Full Name | MACKENZIE B WALKER |
| Practice Address |
25 Degrandpre Way Plattsburgh NY 12901-6449 |
| Mailing Address |
28 Nash Pl # 3 28 Nash Pl #3 Burlington VT 05401-1420 |
| Practice Telephone | 5185633260 |
| Mailing Telephone | 8027779717 |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023473 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28 Nash Pl # 3, 28 Nash Pl #3, Burlington, VT 054011420 | 8027779717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527419 | Mackenzie Lynn Walker | Student in an Organized Health Care Education/Training Program | Unc Department of Psychiatry 101 Manning Dr Cb# 7160, Chapel Hill, NC 27599-0001 | 2018-05-03 |
| 1063071827 | Mackenzie Walker | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3815 | 2019-06-06 |
| Street Address |
25 DEGRANDPRE WAY |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-6449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367367 | Susan A Rech | Obstetrics & Gynecology | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2005-06-27 |
| 1861791287 | Bridget Mary Sarazen | Nurse Practitioner | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2011-03-24 |
| 1114125903 | Molly E. Mentzer | Obstetrics & Gynecology | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2007-07-03 |
| 1811974140 | Marc R Sarnow | Podiatrist | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2005-12-28 |
| 1548259195 | Susan Kier-merrihew | Nurse Practitioner | 25 Degrandpre Way, Associates In Obgyn, PC, Plattsburgh, NY 12901 | 2005-10-17 |
| 1164428983 | Associates In Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2005-06-27 |
| 1093711764 | Mary Anne Carter | Nurse Practitioner | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2005-06-27 |
| 1750387569 | Louise G Pilkington | Nurse Practitioner | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154414100 | Delina Fajardo | Physician Assistant | 1942 Military Turnpike, Plattsburgh, NY 12901 | 2006-10-02 |
| 1720008147 | Tricia D Miller | Physician Assistant | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2006-07-20 |
| 1538157722 | Danielle Baker | Physician Assistant | 151 Bridge St, Plattsburgh, NY 12901-2919 | 2005-10-11 |
| 1609487305 | Taylor Knarr | Physician Assistant | 8 Broad St, Plattsburgh, NY 12901-3420 | 2020-08-14 |
| 1477015519 | Brittany Marshall | Physician Assistant | 75 Beekman St, Plattsburgh, NY 12901-1427 | 2019-04-05 |
| 1922581966 | Audrey Hannah Crocker | Physician Assistant | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2018-09-14 |
| 1841783628 | Rebecca Mary Daggett | Physician Assistant | 75 Beekman St, Plattsburgh, NY 12901 | 2018-06-07 |
| 1629566468 | Anna Hilton | Physician Assistant | 214 Cornelia St Ste 203, Plattsburgh, NY 12901 | 2018-04-26 |
| 1225549587 | Mary Elizabeth Prybylowski | Physician Assistant | 66 Brinkerhoff St, Plattsburgh, NY 12901-2919 | 2017-10-13 |
| 1932633419 | Brett Palmer | Physician Assistant | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2017-04-12 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.