COLLEEN MACKENZIE (NPI# 1346661816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346661816 |
| Entity Type | Individual |
| Full Name | COLLEEN MACKENZIE |
| Credential | ATC |
| Practice Address |
771 Millbridge Apts Clementon NJ 08021-5556 |
| Practice Telephone | 8562864341 |
| Practice Fax Number | 8568214250 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
771 MILLBRIDGE APTS |
| City | CLEMENTON |
| State | NJ |
| Zip Code | 08021-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750704284 | Shanda Jones | Specialist/Technologist | 151 Chelsea Cir, Clementon, NJ 08021-4236 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255824 | Jennifer Druckman | Specialist/Technologist | 5 Rosedale Ter, Livingston, NJ 07039-3203 | 2020-11-03 |
| 1265033765 | Mariah Jade Hubbard | Specialist/Technologist | 13 Stoneybrook Dr Apt 11, Absecon, NJ 08201-4340 | 2020-11-03 |
| 1356941975 | Tyler Cahill | Specialist/Technologist | 10 Deshibe Ter, Vineland, NJ 08360-4902 | 2020-11-01 |
| 1821698606 | Elena Vaughan | Specialist/Technologist | 32 N Syracuse Dr, Cherry Hill, NJ 08034-1229 | 2020-10-29 |
| 1235736612 | Nicholas Christos Ratigan | Specialist/Technologist | 900 Parkway Ave, Ewing, NJ 08618-2390 | 2020-10-08 |
| 1265039622 | Jessica Veronica Fittipaldi | Specialist/Technologist | 170 Paulison Ave, Passaic, NJ 07055-4810 | 2020-10-07 |
| 1396352027 | Carolyn Goeckel | Specialist/Technologist | 401 Broadway Unit 28, Barnegat Light, NJ 08006-1616 | 2020-09-27 |
| 1861008914 | Erin Nicole Boccher | Specialist/Technologist | 89 Prestbury Ln, Somerset, NJ 08873-4783 | 2020-09-23 |
| 1174138598 | Adam Carias | Specialist/Technologist | 18 Park View Ave Apt 314, Jersey City, NJ 07302-7381 | 2020-09-11 |
| 1750993432 | Samantha Hummel | Specialist/Technologist | 1906 Hunters Ln, Wall Township, NJ 07719-4625 | 2020-08-23 |
| Find all providers with the same taxonomy | ||||
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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.