KAITLYN RENEE MACKEY (NPI# 1952946253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952946253 |
| Entity Type | Individual |
| Full Name | KAITLYN RENEE MACKEY |
| Credential | BSW |
| Practice Address |
33 Rollins Ln Willow Street PA 17584-8606 |
| Practice Telephone | 7177255908 |
| Mailing Telephone | 7177255908 |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2019-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
NA | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191365 | Kaitlyn Mackey | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-07-19 |
| 1083952055 | Kaitlyn Mackey | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2013-01-24 |
| Street Address |
33 ROLLINS LN |
| City | WILLOW STREET |
| State | PA |
| Zip Code | 17584-8606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397873 | Bethany M Noll | Audiologist-Hearing Aid Fitter | 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 | 2019-07-15 |
| 1720546070 | Michelle Beachy | Licensed Practical Nurse | 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 | 2019-03-06 |
| 1295293603 | Mary Florida | Registered Nurse | Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 | 2019-03-05 |
| 1275069494 | Victoria Vanburen | Counselor | 2819 Willow Street Pike, Willow Street, PA 17584 | 2017-05-08 |
| 1528505245 | Beverly Gooden | Pharmacist | 2600 Willow St. Pike, Willow St., PA 17584 | 2017-01-20 |
| 1902357544 | White Family Dental - Willow Street | Dentist | 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 | 2016-10-19 |
| 1134482144 | Alexis H Le | Pharmacist | 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 | 2012-06-25 |
| 1992020309 | Elizabeth A Trozzo | Pharmacist | 2600 Willow Street Pike, Willow Street, PA 17584 | 2010-03-30 |
| 1295987642 | Nu Smile Family Dentistry | Dentist | 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 | 2008-10-16 |
| 1629255948 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 730 Hans Herr Drive, Willow Street, PA 17584 | 2008-01-29 |
| Find all providers in zip 17584 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957613 | Global Health and Recovery Services LLC | Internal Medicine | 3229 Kensington Ave, Philadelphia, PA 19134-1934 | 2019-11-19 |
| 1184177263 | Cleanslate Medical Group of Pennsylvania LLC | Internal Medicine | 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702-5240 | 2016-07-26 |
| 1831559814 | Roxanne Rick | Internal Medicine | 2501 Mckeever St, Monongahela, PA 15063-4549 | 2016-03-03 |
| 1770960882 | Medically Assisted Recovery Services Inc | Internal Medicine | 10802 Bustleton Ave, Philadelphia, PA 19116-3302 | 2015-04-28 |
| 1013301985 | Karen Sees | Internal Medicine | 1266 Lindholm Road, Kane, PA 16735 | 2015-03-27 |
| 1144473208 | Christopher Jackson Davis | Internal Medicine | 320 Loucks Rd, Suite 103, York, PA 17404-1752 | 2008-11-02 |
| 1598937245 | James Craig Berman | Internal Medicine | 261 Standish Rd, Merion Station, PA 19066-1133 | 2008-04-01 |
| 1407027725 | Trusandra Elaine Taylor | Internal Medicine | 1745 N 4th St, Philadelphia, PA 19122-3008 | 2008-03-14 |
| 1619081726 | Bernard Amiel Harris | Internal Medicine | 2205 Bridge St, Philadelphia, PA 19137-1313 | 2006-08-18 |
| 1255365151 | Kenneth W Thompson | Internal Medicine | 17 Camp Road, Richard J Caron Foundation, Wernersville, PA 19565 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW STREET |
| Zip Code | 17584 |
Please comment or provide details below to improve the information on KAITLYN RENEE MACKEY.
| 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.