CHRISTINE WILLEY MACKO (NPI# 1952702383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952702383 |
| Entity Type | Individual |
| Full Name | CHRISTINE WILLEY MACKO |
| Other Name | CHRISTINE LOUISE WILLEY |
| Credential | BSN, RN-BC |
| Practice Address |
1061 Harmon Ave Ste 1d03 Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124355101 |
| Mailing Telephone | 9124355101 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN320388L | PA | Nursing Service Providers |
| N | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
710724 | TX | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
710724 | TX | Nursing Service Providers |
| Y | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
RN242355 | GA | Nursing Service Providers |
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
227203 | NC | Ambulatory Health Care Facilities |
| Street Address |
1061 HARMON AVE STE 1D03 |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381570 | Deborah Greggs Loughney | Pharmacist | 1061 Harmon Ave Ste 1d03, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2005-07-22 |
| 1740710102 | Billie Niehoff | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2017-06-18 |
| 1013378892 | Selina Marie Pooser | Physician Assistant | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2016-03-08 |
| 1497128383 | Cheryl L Maddox | Military Health Care Provider | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5674 | 2015-11-02 |
| 1255712006 | Robert Lawrence IIi | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-06-17 |
| 1558753632 | Dallin Mitchell | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-02-25 |
| 1205230224 | Shaundra Robinson | Registered Nurse | 1061 Harmon Ave Ste 1d03, Bldg. 308, Fort Stewart, GA 31314-5641 | 2014-10-20 |
| 1851792436 | Michelle Bunting | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-15 |
| 1124429709 | Sandra Tina Watkins | Licensed Practical Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-15 |
| 1023422714 | Steven Robles | Psychologist | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 163WX0106X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710102 | Billie Niehoff | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2017-06-18 |
| 1881832475 | Roslyn S Kelly | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2009-02-04 |
| 1144499948 | Selena Katherine Davis | Registered Nurse | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5674 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538324371 | Joi Johnson | Registered Nurse | 86 S. Cobb Dr., Marietta, GA 30066 | 2008-07-22 |
| 1063839546 | Melissa Johnson | Registered Nurse | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2014-03-24 |
| 1871756189 | Maryann M Thrasher | Registered Nurse | 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 | 2008-07-07 |
| 1275533671 | Dale L Tribout | Registered Nurse | 1061 Harmon Ave, Ste 1d03, Ft Stewart, GA 31314-5604 | 2005-07-28 |
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on CHRISTINE WILLEY MACKO.
| 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.