MRS. JOHANNA V. MACKINNON (NPI# 1467684985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467684985 |
| Entity Type | Individual |
| Full Name | MRS. JOHANNA V. MACKINNON |
| Other Name | MISS LETICIA JOHANNA VIAL |
| Credential | RN |
| Practice Address |
2400 Miccosukee Rd Tallahassee FL 32308-5314 |
| Practice Telephone | 8509424706 |
| Mailing Telephone | 8509424706 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN3067342 | FL | Nursing Service Providers |
| Street Address |
2400 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376502740 | Hong Gao | Internal Medicine | 2400 Miccosukee Rd, Tallahassee, FL 32308 | 2006-03-22 |
| 1326679887 | Florida Capital Anesthesia Associates, LLC | Anesthesiology | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2020-02-03 |
| 1194374322 | Jessica L Lash | Nurse Practitioner | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2019-09-10 |
| 1427508217 | Angela Smith | Nurse Practitioner | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2016-10-05 |
| 1548689060 | Manoela Mota | Internal Medicine | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2014-04-11 |
| 1699933440 | Shirleen S Dupont | Nurse Practitioner | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2008-05-29 |
| 1811911829 | Charles Raymond Cottrell | Internal Medicine | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2006-07-26 |
| 1609897545 | Eugene A Trowers | Internal Medicine | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2006-07-23 |
| 1740201607 | Tallahassee Endoscopy Center Inc | Clinic/Center | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2006-07-23 |
| 1932143179 | Amulya Konda | Internal Medicine | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351276 | Magaly Camejo | Registered Nurse | 1037 W 23rd St, Hialeah, FL 33010-1922 | 2020-09-16 |
| 1497368112 | Daphne Nelson | Registered Nurse | 8617 Wilburn Cv, Navarre, FL 32566-6670 | 2020-08-24 |
| 1578198842 | Cylena P Campbell | Registered Nurse | 10829 Nw 55th St, Coral Springs, FL 33076-2767 | 2020-03-07 |
| 1174153498 | Krystal Rivera | Registered Nurse | 9703 Hammocks Blvd Apt 208, Miami, FL 33196-1557 | 2020-01-26 |
| 1306486212 | Dayron Barzaga Dieguez | Registered Nurse | 25931 Sw 132nd Ave, Homestead, FL 33032-6963 | 2020-01-08 |
| 1851763288 | Yenixis Martinez-castillo | Registered Nurse | 6378 Nw 170th Ln, Hialeah, FL 33015-4629 | 2015-10-26 |
| 1659766830 | Caroline Heyward Simons | Registered Nurse | 8450 Gate Pkwy W Unit 1007, Jacksonville, FL 32216-1077 | 2015-04-03 |
| 1710329495 | Johnnetta Nicole Wider | Registered Nurse | 5523 Kilcullen Ln, Jacksonville, FL 32244-6258 | 2013-07-23 |
| 1386922086 | Robert Kenneth Olan | Registered Nurse | 5852 Roble Loma Dr, Pensacola, FL 32526-2217 | 2011-07-28 |
| 1356517114 | Linda Elizabeth Moody | Registered Nurse | 715 Seddon Cove Way, Tampa, FL 33602-5702 | 2008-05-01 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on MRS. JOHANNA V. MACKINNON.
| 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.