MACKENZIE MEYER BERRUS (NPI# 1144792904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144792904 |
Entity Type | Individual |
Full Name | MACKENZIE MEYER BERRUS |
Credential | PA-C |
Practice Address |
920 Lark Dr Albany NY 12207-1398 |
Practice Telephone | 5184654771 |
Mailing Telephone | 5184654771 |
Enumeration Date | 2018-12-18 |
Last Update Date | 2018-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 022817 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
920 LARK DR |
City | ALBANY |
State | NY |
Zip Code | 12207-1398 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023009685 | Kallanna Manjunath | Pediatrics | 920 Lark Dr, Albany, NY 12207-1300 | 2005-11-02 |
1851901086 | Latasha Powell | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-08-03 |
1538792833 | Jennifer Lynn Mcbain | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-02-15 |
1245871995 | Sara Vogel | Pharmacist | 920 Lark Dr, Albany, NY 12207-1300 | 2019-10-03 |
1780249250 | Kristey Marie Palmisano | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2019-05-09 |
1306300041 | Laquanya Haggray | Counselor | 920 Lark Dr, Albany, NY 12207-1300 | 2019-01-28 |
1912491002 | Sally Fay Delory | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2018-06-21 |
1366956906 | Melissa Seaman Feltman | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2017-11-17 |
1770004095 | Shannon M Craig | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2017-06-28 |
1851741441 | Jacob Miner | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2016-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
Find all providers in zip 12207 |
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 |
---|---|---|---|---|
1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
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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.