MACKENZIE COLE (NPI# 1063976389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063976389 |
| Entity Type | Individual |
| Full Name | MACKENZIE COLE |
| Credential | PA-C |
| Practice Address |
1 Medical Park Dr Benton AR 72015-3353 |
| Mailing Address |
4605 I St Apt 7 Little Rock AR 72205-1965 |
| Practice Telephone | 5017766000 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058349 | Mackenzie Rae Cole | Specialist/Technologist | 601 S College Rd, Wilmington, NC 28403-3201 | 2020-09-16 |
| 1881100808 | Mackenzie Cole | Physician Assistant | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | 2017-12-28 |
| Street Address |
1 MEDICAL PARK DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808217 | Megan Wheat | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-10-09 |
| 1861019721 | Traci C Crump | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-06-26 |
| 1669091195 | Jessica Lee Roper | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-04-14 |
| 1134767627 | Penny Kaye Bettis | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-12-15 |
| 1598328163 | Rachel Catherine Huynh | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-04-18 |
| 1154889707 | Panfilo Estrada-flores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-03-03 |
| 1396224002 | Devin Annette Devlin | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2018-08-13 |
| 1679084404 | Lindsay Queen | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-10-19 |
| 1073031878 | Jennifer Faughn Neighbors | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-09-01 |
| 1447609367 | Saline Clinics LLC | Family Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2016-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538330485 | Caleb Sloan Rae | Physician Assistant | 126 Polk Street, Benton, TN 37307 | 2008-03-19 |
| 1013975762 | Sterling Emergency Services of The Midwest, Inc | Physician Assistant | 503 George Mcclain Dr, Benton, KY 42025-1331 | 2006-05-03 |
| 1215567995 | Bridget Catherine O'leary | Physician Assistant | 105 Mcneil St, Benton, AR 72015-3345 | 2020-01-22 |
| 1285141333 | Danny D Satterfield | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2018-01-10 |
| 1023475878 | Matthew H Pruitt | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2016-01-25 |
| 1750792974 | Nicole Brown | Physician Assistant | 201 Bailey Ln, Benton, IL 62812-1969 | 2014-05-09 |
| 1316220049 | Rikki Lea Walker | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2011-09-20 |
| 1376792457 | Jasmin Ann Lease | Physician Assistant | 2010 Active Way, Benton, AR 72019-7566 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691678 | Laura T Bailey Aprn Pllc | Physician Assistant | 5320 W Sunset Ave Ste 176, Springdale, AR 72762-4415 | 2020-08-28 |
| 1639707151 | Brianna Young | Physician Assistant | 903 N Raven Rd, Rogers, AR 72756-1941 | 2020-03-30 |
| 1588148431 | Christina N Holman | Physician Assistant | 16 Hospital Cir Ste B, Batesville, AR 72501-7343 | 2018-09-17 |
| 1366921280 | Courteney Evans Gooch | Physician Assistant | 600 Maple St Apt 3308, North Little Rock, AR 72114-5487 | 2018-08-10 |
| 1346735735 | Haley Beth Hobson | Physician Assistant | 1308 E Page Ave, Malvern, AR 72104-4518 | 2018-06-27 |
| 1427554401 | Rebekah Campbell | Physician Assistant | 5410 Whistling Straits, Conway, AR 72034-8765 | 2018-03-30 |
| 1417455817 | Kaitlyn Marie Rauwerdink | Physician Assistant | 2 Saint Vincent Cir Fl 6, Little Rock, AR 72205-5423 | 2018-01-31 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1891209086 | Mallory J Melby | Physician Assistant | 1662 Higdon Ferry Rd Ste 300, Hot Springs, AR 71913-6982 | 2017-11-27 |
| 1811401318 | Rachel Neal | Physician Assistant | 4220 N Rodney Parham Rd Ste 230, Little Rock, AR 72212-2457 | 2017-11-21 |
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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.