LAURETTE MACKINNON (NPI# 1194881227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194881227 |
| Entity Type | Individual |
| Full Name | LAURETTE MACKINNON |
| Credential | D.C. |
| Practice Address |
13020 Livingston Road, Suite 14 Naples FL 34105-5021 |
| Practice Telephone | 2392633330 |
| Practice Fax Number | 9783749716 |
| Mailing Telephone | 2392633330 |
| Mailing Fax Number | 9783749716 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11727 | FL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2116 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA INDIVIDUAL NUMBER | Y36564 | 01 |
| MA | BCBSMA GROUP NUMBER | Y39421 | 01 |
| Street Address |
13020 LIVINGSTON ROAD, SUITE 14 |
| City | NAPLES |
| State | FL |
| Zip Code | 34105-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467915199 | Luke Thomas Schaefer | Physical Therapist | 13020 Livingston Road, Suite 14, Naples, FL 34105-5021 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1326198862 | Amanda Weaver | Specialist/Technologist | 1220 Reserve Way, #306, Naples, FL 34105 | 2007-01-10 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393872 | Community Care Chiropractic and Rehab Center, LLC | Chiropractor | 4075 Pine Ridge Rd Ste 8, Naples, FL 34119-4004 | 2020-10-13 |
| 1063028397 | Abigail Marie Smith | Chiropractor | 2960 Immokalee Rd Ste 1, Naples, FL 34110-1439 | 2020-09-22 |
| 1699301960 | Natalie Hydock | Chiropractor | 1700 Santa Barbara Blvd Ste 1706, Naples, FL 34116-5449 | 2020-03-19 |
| 1710536487 | Amazing Wellness and Chiropractic | Chiropractor | 13800 Tamiami Trl N # 113, Naples, FL 34110-6201 | 2019-09-05 |
| 1104482603 | Daniel Taylor | Chiropractor | 2828 Tamiami Trl N, Naples, FL 34103-4414 | 2019-05-10 |
| 1104319680 | Fisher Chiropractic LLC | Chiropractor | 1001 Crosspointe Dr Ste 101, Naples, FL 34110-0946 | 2018-06-11 |
| 1023515178 | Chad M Opsal | Chiropractor | 1400 Gulf Shore Blvd N Ste 134, Naples, FL 34102-4971 | 2018-04-06 |
| 1821597683 | Healthy Fit LLC | Chiropractor | 7574 Rozzini Ln, Naples, FL 34114-2673 | 2018-02-07 |
| 1992203509 | Oscar D. Nieves | Chiropractor | 1660 Medical Blvd Ste 302, Naples, FL 34110-1497 | 2018-01-29 |
| 1124530225 | Waldo Alberto Amadeo Sanchez | Chiropractor | 2960 Immokalee Rd Ste 1&2, Naples, FL 34110-1439 | 2017-10-30 |
| Find all providers in NAPLES | ||||
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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.