COLLEEN MACK (NPI# 1376918797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376918797 |
| Entity Type | Individual |
| Full Name | COLLEEN MACK |
| Credential | REGISTERED NURSE |
| Practice Address |
130 Jfk Dr Suite 132 Atlantis FL 33462-1141 |
| Practice Telephone | 5618416250 |
| Mailing Telephone | 2153033699 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN324249L | PA | Nursing Service Providers |
| Street Address |
130 JFK DR SUITE 132 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902862808 | Atlantis Orthopaedics, P.a. | Specialist | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2006-04-21 |
| 1629439385 | Abba Can You Hear Me, Inc | Clinic/Center | 130 Jfk Dr, Suite 132, Atlantis, FL 33462-1141 | 2016-03-09 |
| 1750740346 | Unleashed Recovery | Clinic/Center | 130 Jfk Dr, Atlantis, FL 33462-1141 | 2016-02-11 |
| 1366728677 | Julio David Ochoa | Physician Assistant | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2011-11-01 |
| 1295037786 | Kenneth S. Jaffe, Md, Pa | Internal Medicine | 130 Jfk Dr, Suite 134, Atlantis, FL 33462-1141 | 2010-12-03 |
| 1063734432 | Corinthian Doctors Group Inc | Psychologist | 130 Jfk Dr, Suite 138b, Atlantis, FL 33462-1141 | 2010-02-25 |
| 1073767968 | Drs Penner Norris and Routman Pa | Orthopaedic Surgery | 130 Jfk Dr, Ste 201, Atlantis, FL 33462-1141 | 2008-11-05 |
| 1912157751 | Brian Keith Reiter | Orthopaedic Surgery | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2008-09-29 |
| 1740436997 | Aabaco Behavioral Health Treatment Center | Substance Abuse Rehabilitation Facility | 130 Jfk Dr, Suite 138, Atlantis, FL 33462-1141 | 2008-08-07 |
| 1417175308 | Colony Springs Medical Center of Palm Bch, Inc | Specialist | 130 Jfk Dr, Suite # 131, Atlantis, FL 33462-1141 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1588211734 | Marcello De Carvalho | Registered Nurse | 7801 Point Meadows Dr Unit 2310, Jacksonville, FL 32256-9142 | 2019-08-22 |
| 1326505017 | Jeanne Gynelle Wooden | Registered Nurse | 5665 Fort Rd, Greenwood, FL 32443-1969 | 2019-02-28 |
| 1184102006 | Kathleen Stewart | Registered Nurse | 2634 Capital Cir Ne Bldg G, Tallahassee, FL 32308-4106 | 2018-08-02 |
| 1326556069 | Rose Ledoux | Registered Nurse | 803 Fairmaiden Ln Apt 2, Brandon, FL 33511-5885 | 2018-01-16 |
| 1598116006 | Virginia Dohn | Registered Nurse | 8189 N Verdino Ter, Crystal River, FL 34428-6975 | 2016-06-27 |
| 1417305756 | Myrlene Merveille | Registered Nurse | 10330 Sw 20th Ct, Miramar, FL 33025-1776 | 2016-05-26 |
| 1255788832 | Jacqueline Ustache | Registered Nurse | 1647 Sun City Center Plz Ste 201, Sun City Center, FL 33573-5334 | 2016-05-24 |
| 1881902617 | Eric John Sebring | Registered Nurse | 5601 N Suwanee Ave, Tampa, FL 33604-7059 | 2010-09-14 |
| 1750614780 | Ewa Elzbieta Owens | Registered Nurse | 3000 41st St Ocean, Guidance Clinic of The Middle Keys, Marathon, FL 33050 | 2009-09-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COLLEEN MACK.
| 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.