KIMBERLY DIANE MACKAY (NPI# 1730727314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730727314 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANE MACKAY |
| Credential | NNP |
| Practice Address |
1 Childrens Pl Ofc 6100 Saint Louis MO 63110-1002 |
| Mailing Address |
247 Rainbow Dr # 14790 Livingston TX 77399-2047 |
| Practice Telephone | 3414545437 |
| Mailing Telephone | 9362231329 |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
2019044077 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578915997 | Kimberly Mackay | Social Worker | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2016-07-09 |
| 1811388606 | Kimberly Mackay | Pharmacist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2015-02-15 |
| Street Address |
1 CHILDRENS PL OFC 6100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578914586 | Robin Wolf | Nurse Practitioner | 740 Francis Pl, Saint Louis, MO 63105-2462 | 2016-06-30 |
| 1467617894 | Tammy Carol Lentz | Nurse Practitioner | 615 S Ballas Rd, Saint Louis, MO 63122-5314 | 2008-07-24 |
| 1164036851 | Andrea Bumb | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-09-01 |
| 1235741513 | Shannon Ries | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1760038343 | Holly Brethorst | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-08-10 |
| 1730732629 | Jessica Cook | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2019-07-19 |
| 1316418916 | Whitney Rae Schmale | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2018-12-09 |
| 1366910945 | Sarah Thai | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-11-13 |
| 1114402724 | Nadia Gillette | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2018-09-28 |
| 1306358171 | Tiffany Michelle Perraut | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2017-11-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on KIMBERLY DIANE MACKAY.
| 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.