MARISA TAYLOR MACKENZIE


Address: 1255 Liberty St, Redding, CA 96001-0814
Phone: 5302462467

MARISA TAYLOR MACKENZIE (NPI# 1447536933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447536933
Entity Type Individual
Full Name MARISA TAYLOR MACKENZIE
Credential PA
Practice Address 1255 Liberty St
Redding
CA 96001-0814
Mailing Address Po Box 991950
Redding
CA 96099-1950
Practice Telephone 5302462467
Mailing Telephone 5302462467
Enumeration Date 2011-10-27
Last Update Date 2015-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601006086 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1255 LIBERTY ST
City REDDING
State CA
Zip Code 96001-0814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427057132 Eric J Jenkinson Pediatrics 1255 Liberty St, Redding, CA 96001-0814 2005-07-15
1760025886 Kimberly Kay Elliott Social Worker 1255 Liberty St, Redding, CA 96001-0814 2019-10-21
1447803374 Seth Kneebone Physical Therapist 1255 Liberty St, Redding, CA 96001-0814 2019-07-19
1689172405 Stacie Lyn Lonquist Specialist/Technologist 1255 Liberty St, Redding, CA 96001-0814 2018-01-26
1689106882 Garret Strand Podiatrist 1255 Liberty St, Redding, CA 96001-0814 2017-03-28
1851836506 Tyler Michael Martin Physical Therapist 1255 Liberty St, Redding, CA 96001-0814 2017-01-04
1225438658 William A Ranker Pharmacist 1255 Liberty St, Suite C, Redding, CA 96001-0814 2014-09-04
1427479740 Jennifer Olds Registered Nurse 1255 Liberty St, Redding, CA 96001-0814 2014-01-05
1114362019 Forrest R Monroe Anesthesiology 1255 Liberty St, Redding, CA 96001 2013-05-06
1609154517 Trisha J Fagan Physician Assistant 1255 Liberty St, Redding, CA 96001-0814 2011-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730651266 Vanessa Louise Banda Social Worker 1544 Magnolia Avenue, Redding, CA 96001 2018-12-21
1184194672 Marie Sherrick Licensed Vocational Nurse 2030 Elreno Lane, Redding, CA 96001 2018-11-28
1699257857 Prorehab Physical Therapy and Sports Performance, Inc Physical Therapist 3673 Eureka Way, Redding, CA 96001 2018-09-05
1316456833 Jennifer Rose Goehring Counselor 1310 Continental Street, Redding, CA 96001 2017-09-27
1891224440 Audrey Cutler Social Worker 1313 Yuba St., Redding, CA 96001 2017-06-07
1184167991 Calafia Holdings LLC Skilled Nursing Facility 1836 Gold Street, Redding, CA 96001 2016-11-28
1194272369 Shasta County Clinic/Center 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 2016-09-06
1417329236 Shari Hayden Specialist/Technologist, Other 2111 Air Park Dr, Redding, CA 96001 2015-10-21
1679951982 Shasta Hearing Aids Health Maintenance Organization 900 Butte St, Redding, CA 96001 2015-05-07
1073919171 Native American Mental Health Services Corporation Psychiatry & Neurology 1742 Oregon Street, Redding, CA 96001 2014-11-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356972756 Mobile One Urgent Care Physician Assistant Owned Apc Physician Assistant 3904 Rainier Dr, Redding, CA 96001-5914 2020-02-04
1538307970 Hanh D Cline Physician Assistant 2420 Sonoma Street, Redding, CA 96001 2009-01-22
1871552828 Cathy L. Ochs Physician Assistant 1647 Hartnell Ave Ste 6, Redding, CA 96002-2268 2006-03-20
1306474135 Tai Chinnock Moses Physician Assistant 1100 Butte St, Redding, CA 96001-0852 2020-03-28
1861960213 Carri Ann Decarlo Physician Assistant 1742 Oregon St, Redding, CA 96001-1717 2018-11-04
1235580986 Nicholas Cole Physician Assistant 2175 Rosaline Ave, Redding, CA 96001-2549 2016-06-23
1962891036 Kristen Anderson Physician Assistant 1035 Placer St, Suite 330, Redding, CA 96001-1125 2015-01-13
1336428283 Aaron Stinnett Englebright Physician Assistant 1555 East St, Suite 100, Redding, CA 96001-1153 2011-08-10
1609154517 Trisha J Fagan Physician Assistant 1255 Liberty St, Redding, CA 96001-0814 2011-07-26
1942522495 Sarah L Planchard Physician Assistant 3184 Churn Creek Rd, Redding, CA 96002-2122 2010-02-25
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Competitor

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City REDDING
Zip Code 96001

Improve Information

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Dataset Information

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.

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