PAMELA D MACKAY (NPI# 1124562012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124562012 |
| Entity Type | Individual |
| Full Name | PAMELA D MACKAY |
| Credential | FNP-C |
| Practice Address |
2026 S Jackson St Jacksonville TX 75766-5822 |
| Mailing Address |
Po Box 847522 Dallas TX 75284-7522 |
| Practice Telephone | 9035865678 |
| Mailing Telephone | 9035315000 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP132740 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 369920901 | 05 | |
| TX | MEDICARE RAIL ROAD | P01938229 | 01 |
| TX | RAIL ROAD MEDICARE | P01787234 | 01 |
| TX | 369920902 | 05 | |
| TX | TRICARE | 752616977020 | 01 |
| TX | BCBS | 8462MB | 01 |
| TX | MEDICARE | 552857YMAF | 01 |
| TX | TRICARE | 75-1976930-005 | 01 |
| TX | BCBS | 8HL389 | 01 |
| Street Address |
2026 S JACKSON ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306672 | Mother Frances Hospital - Jacksonville | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2005-06-17 |
| 1497362198 | Stephanie Davis | Registered Nurse | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2020-09-26 |
| 1730643032 | Timothy B Different | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2019-01-31 |
| 1356856652 | Michele Lee Bentoski | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2017-12-08 |
| 1740673557 | Natalie Marie Morgan | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2015-03-18 |
| 1376956466 | Alison Collins | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-06-05 |
| 1457771818 | Rita Alumanah | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-04-23 |
| 1427496025 | Lilika Anique White | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2013-06-05 |
| 1285920405 | Nirmala Nandini Cheatham | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-06-27 |
| 1821392606 | Trincare Inc | Clinic/Center | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786338 | Bernardo C Lobusta Jr. | Nurse Practitioner | 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 | 2020-09-26 |
| 1720695513 | Kristin Browning | Nurse Practitioner | 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 | 2020-09-25 |
| 1780295667 | Sharnice Letia White | Nurse Practitioner | 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 | 2020-08-13 |
| 1891305082 | Kayla Susan Weller | Nurse Practitioner | 4361 Gadsden Ct, Jacksonville, FL 32207-6218 | 2020-08-03 |
| 1952925315 | Michelle Benefield | Nurse Practitioner | 605 W Beaver St, Jacksonville, FL 32202-4722 | 2020-06-02 |
| 1831739887 | Melanie Bautista | Nurse Practitioner | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-01-07 |
| 1235776279 | Janine Mancusi | Nurse Practitioner | 417 Brody Cove Trl, Jacksonville, FL 32225-5113 | 2019-12-10 |
| 1114576881 | Delesa Gabrielle Bradley | Nurse Practitioner | 1602 S Jackson St, Jacksonville, TX 75766-3028 | 2019-09-05 |
| 1508411190 | Jaclyn Michelle Bowden | Nurse Practitioner | 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 | 2019-08-09 |
| 1386297414 | Rebecca Newell | Nurse Practitioner | 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 | 2019-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
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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.