NANCY M. MACKOWSKY, OD, PA (NPI# 1932430121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932430121 |
Entity Type | Organization |
Organization Name | NANCY M. MACKOWSKY, OD, PA |
Practice Address |
4201 Lake Boone Trl Suite 104 Raleigh NC 27607-7512 |
Practice Telephone | 9199440195 |
Practice Fax Number | 9199440085 |
Mailing Telephone | 9199440195 |
Mailing Fax Number | 9199440085 |
Enumeration Date | 2010-01-27 |
Last Update Date | 2010-01-27 |
Authorized Official Name | DR. NANCY M MACKOWSKY (DOCTOR OF OPTOMETRY) |
Authorized Official Telephone | 9199440195 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
1571 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 890936C | 05 |
Street Address |
4201 LAKE BOONE TRL SUITE 104 |
City | RALEIGH |
State | NC |
Zip Code | 27607-7512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
1699383034 | Sarah Olivia Varner | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2020-07-22 |
1700445707 | Courtney Lynn Race | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2019-06-12 |
1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
1891145355 | Anna Lawrence | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-15 |
1629427836 | Christine A Halstead | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-08 |
1700231156 | Megan Puryear | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607 | 2016-05-03 |
1710345913 | Carly Kohler | Occupational Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-02-02 |
1780064105 | Samantha Vrooman | Audiologist | 4201 Lake Boone Trl, Suite 105, Raleigh, NC 27607-7512 | 2015-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386121606 | Carolina Physical Therapy Associates LLC | Clinic/Center | 13200 Strickland Rd Ste 134, Raleigh, NC 27613-5214 | 2018-07-20 |
1073828950 | Vertical Horizon Community Services | Clinic/Center | 318 W Millbrook Rd Ste 101, Raleigh, NC 27609-4386 | 2010-08-16 |
1225515547 | Carolina Physical Therapy Associates LLC | Clinic/Center | 9660 Falls of Neuse Rd, Raleigh, NC 27615-2473 | 2018-07-20 |
1154844694 | Carolina Physical Therapy Associates LLC | Clinic/Center | 7277 Nc Highway 42 Ste 208, Raleigh, NC 27603-7528 | 2017-07-17 |
1942519483 | Rex Healthcare | Clinic/Center | 2709 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6462 | 2010-10-01 |
1144537614 | United Rehab Inc | Clinic/Center | 513 E Whitaker Mill Rd, Raleigh, NC 27608-2633 | 2010-09-07 |
1477860948 | United Rehab Inc | Clinic/Center | 2420 Lake Wheeler Rd, Raleigh, NC 27603-2614 | 2010-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033726567 | Carolina Physical Therapy Associates LLC | Clinic/Center | 236 Lephillips Court, Suite A, Concord, NC 28025-1917 | 2020-09-29 |
1063027597 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3611 Mt Holly Hntrsvl Rd Bldg 200, Charlotte, NC 28216-8636 | 2020-09-11 |
1508478918 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 150 Wellesley Trade Ln, Cary, NC 27519 | 2020-08-18 |
1154963346 | Carolina Physical Therapy Associates LLC | Clinic/Center | 1129 Weaver Dairy Rd Ste N, Chapel Hill, NC 27514-1960 | 2019-10-09 |
1861042574 | Trainer's B's Fitness World, Inc. | Clinic/Center | 1225 S Church St Ste B, Charlotte, NC 28203-4197 | 2019-09-14 |
1699333021 | Stephanie Carlile Elam | Clinic/Center | Carolina Care Health and Rehab, 111 Harrilson Road, Cherryville, NC 28021 | 2019-05-31 |
1023579828 | Carolina Physical Therapy Associates LLC | Clinic/Center | 5476 Apex Peakway, Apex, NC 27502-3924 | 2019-03-26 |
1467964189 | Cora North Carolina, LLC | Clinic/Center | 1115 Military Cutoff Rd Ste A, Wilmington, NC 28405-3660 | 2017-11-03 |
1568971919 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2654 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2017-09-28 |
1609301431 | Sylvabel Pediatric Therapy Services | Clinic/Center | 4 Pine Ridge Ct, Greensboro, NC 27406-6504 | 2017-04-30 |
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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.