MS. POLLY KAELIN MACKEY (NPI# 1063488690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063488690 |
| Entity Type | Individual |
| Full Name | MS. POLLY KAELIN MACKEY |
| Credential | APRN |
| Practice Address |
4100 Taylor Blvd Louisville KY 40215-2342 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5023664747 |
| Practice Fax Number | 5029968309 |
| Mailing Telephone | 5027748631 |
| Mailing Fax Number | 5027783499 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3000536 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7800163300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Portland Ave, Louisville, KY 402121033 | 5027748631 | 5027783499 |
| Street Address |
4100 TAYLOR BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982157046 | Erica L. Thomas | Registered Nurse | 4100 Taylor Blvd, Louisville, KY 40215-2342 | 2016-07-25 |
| 1356763403 | Kara Beth Hockenbury | Social Worker | 4100 Taylor Blvd, Louisville, KY 40215-2342 | 2014-01-08 |
| 1932414760 | Robert E Bratcher | Registered Nurse | 4100 Taylor Blvd, Louisville, KY 40215-2342 | 2010-08-17 |
| 1356394670 | Family Health Centers, Inc. | Clinic/Center | 4100 Taylor Blvd, Louisville, KY 40215-2342 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177533 | Obstetrix Medical Group of Colorado, P.C. | Nurse Practitioner | 90 Health Park Dr Ste 390, Louisville, CO 80027-9742 | 2020-06-04 |
| 1063913986 | Tara Lynn Denton | Nurse Practitioner | 1425 W Broadway, Louisville, KY 40203-2059 | 2018-02-26 |
| 1093107781 | Lecresha Sewell | Nurse Practitioner | 4123 Dutchmans Ln Ste 250, Louisville, KY 40207-4707 | 2015-03-04 |
| 1679824882 | Cheryl Yvette Wofford | Nurse Practitioner | 3307 Breckenridge Ln, Louisville, KY 40220-3213 | 2012-09-27 |
| 1215182951 | Womens Center for Gynecology and Bladder Disorders | Nurse Practitioner | 5512 Bardstown Rd, Louisville, KY 40291-1910 | 2008-11-21 |
| 1568442291 | Marsha Elaine Fields | Nurse Practitioner | 3015 Wilson Ave., Louisville, KY 40211-1969 | 2006-01-19 |
| 1275534091 | Lisa G Glass | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2005-08-02 |
| 1710981667 | Janice N Eklund | Nurse Practitioner | 8113 Bardstown Rd, Louisville, KY 40291-3441 | 2005-06-09 |
| 1932669306 | Jessica Wren Deis | Nurse Practitioner | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2019-03-22 |
| 1710412077 | Jordan Hatchett | Nurse Practitioner | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2017-04-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on MS. POLLY KAELIN 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.