DANIELLE MACK (NPI# 1669974168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669974168 |
| Entity Type | Individual |
| Full Name | DANIELLE MACK |
| Credential | CHLS |
| Practice Address |
4611 Peachtree Ave Louisville KY 40215-2442 |
| Practice Telephone | 5027947008 |
| Mailing Telephone | 5027947008 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
208622 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228650 | Danielle Andree Mack | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2019-11-04 |
| 1558875682 | Danielle Mack | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2017-11-28 |
| Street Address |
4611 PEACHTREE AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407320492 | Teondra Shantay Mcgruder | Specialist | 1032 Lakeview St, Louisville, GA 30434-5963 | 2019-01-14 |
| 1528552528 | Nachell Tashae Beeler | Specialist | 126 N 42nd St, Louisville, KY 40212-2606 | 2018-06-21 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1386109379 | Quintina Love | Specialist | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2019-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678701 | Tywahneikai Lashae Bailey | Specialist | 673 Knox Blvd Ste C, Radcliff, KY 40160-1568 | 2019-09-16 |
| 1679057822 | Melanie Higgins- Day | Specialist | 121 Malabu Dr Ste 4, Lexington, KY 40503-3143 | 2018-09-23 |
| 1982101549 | Soyini Edwards | Specialist | 2780d New Holt Rd Ste 370, Paducah, KY 42001-7436 | 2018-04-10 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
| 1073846127 | Sherman G Dudley | Specialist | 119 Nancy Cox Dr, Suite 2, Campbellsville, KY 42718-6832 | 2009-09-08 |
| 1376790998 | Mary Justine Parrott-allen | Specialist | 115 Central Plaza Shopping Center, Campbellsville, KY 42718-1595 | 2008-08-26 |
| 1215932801 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 230 S Franklin St, Russellville, KY 42276-1937 | 2005-06-20 |
| 1700881307 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 4288 N Jackson Hwy, Glasgow, KY 42141-9020 | 2005-06-20 |
| 1275538860 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 165 Natchez Trace, Ste. 202, Bowling Green, KY 42103 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.