DR. MARY JO M MACKINNON (NPI# 1932225794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932225794 |
| Entity Type | Individual |
| Full Name | DR. MARY JO M MACKINNON |
| Credential | FNP-C, ND |
| Practice Address |
8 Abbott Park Pl Providence RI 02903-3703 |
| Mailing Address |
68 Wood Cove Dr Coventry RI 02816-6611 |
| Practice Telephone | 4015981104 |
| Mailing Telephone | 3039814407 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN00581 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 259166 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8 ABBOTT PARK PL |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477514842 | Alan Segee | Specialist/Technologist | 8 Abbott Park Pl, Athletic Department, Providence, RI 02903-3703 | 2006-03-28 |
| 1023463148 | Catherine Rondeau | Nurse Practitioner | 8 Abbott Park Pl, Providence, RI 02903-3775 | 2016-04-26 |
| 1598143000 | Jennifer Pretsch | Social Worker | 8 Abbott Park Pl, Providence, RI 02903-3703 | 2015-05-16 |
| 1437401510 | Rachel Elizabeth Millen | Specialist/Technologist | 8 Abbott Park Pl, Providence, RI 02903-3703 | 2012-10-12 |
| 1366705758 | Lesley Yvonne Roy | Counselor | 8 Abbott Park Pl, Wales Hall, 2nd Floor, Providence, RI 02903-3703 | 2012-06-20 |
| 1457477655 | Alexander Laorenza | Social Worker | 8 Abbott Park Pl, Providence, RI 02903 | 2007-03-21 |
| 1689635617 | Jillian Lee Withington | Specialist/Technologist | 8 Abbott Park Pl, Providence, RI 02903-3703 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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 |
|---|---|---|---|---|
| 1043839848 | Christine Terhune | Nurse Practitioner | 16 Grotto Ave Apt 4, Providence, RI 02906-5523 | 2020-04-11 |
| 1841502804 | Diane Jean Smith | Nurse Practitioner | 280 Melrose St., Name: Concentra, Providence, RI 02901 | 2010-07-07 |
| 1033209895 | Stacy Ramsey | Nurse Practitioner | 111 Point Street, Providence, RI 02940-1142 | 2006-10-13 |
| 1003821869 | Jennifer R Ouellette | Nurse Practitioner | Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 | 2006-07-30 |
| 1619981529 | June M Fischer | Nurse Practitioner | 595 Eddy Street, Providence, RI 02901 | 2006-07-28 |
| 1154365054 | Cynthia J Buckley | Nurse Practitioner | Providence College Student Health Services, 549 River Ave, Providence, RI 02918-0001 | 2006-06-15 |
| 1902877178 | Christine B Butler | Nurse Practitioner | 845 N Main St, Suite 1, Providence, RI 02904-5700 | 2006-01-27 |
| 1447221668 | Jacqueline M Joubert | Nurse Practitioner | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2006-01-27 |
| 1578552030 | Elaine A Forbes | Nurse Practitioner | 9 Pleasant St, Medicine Associates, Providence, RI 02906 | 2005-10-18 |
| 1649267345 | Elizabeth Canino | Nurse Practitioner | 225 Chapman St, Providence, RI 02905-4533 | 2005-09-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.