KAITLIN MARIE MACK (NPI# 1790203370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790203370 |
| Entity Type | Individual |
| Full Name | KAITLIN MARIE MACK |
| Other Name | KAITLIN MARIE CLARK |
| Credential | CNP |
| Practice Address |
800 Mcconnell Rd Columbus OH 43214-3463 |
| Mailing Address |
3600 S Old 3c Hwy Galena OH 43021-9518 |
| Practice Telephone | 6145665019 |
| Mailing Telephone | 4408645120 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.021460 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871917682 | Kaitlin Mack | Physical Therapist | 4128 E Grand River Ave, Howell, MI 48843-6538 | 2014-02-13 |
| Street Address |
800 MCCONNELL RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792248 | Michael David Patterson | Internal Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2005-06-30 |
| 1174018428 | Catherine Anne Dean-haidet | Clinical Nurse Specialist | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2018-06-28 |
| 1043705387 | Sara Jo Doran | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2018-06-28 |
| 1568985661 | Eniko Bianca Ungureanu | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2017-07-20 |
| 1285173195 | Ohiohealth | General Acute Care Hospital | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2017-02-13 |
| 1225585763 | Karen E Lynch | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-09-01 |
| 1952856163 | Patricia L Tolbert | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-08-17 |
| 1700339421 | Shannon Storey | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214 | 2016-07-29 |
| 1205299823 | Kavita Shah | Internal Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-03-31 |
| 1053774901 | Charlotte Venious | Student in an Organized Health Care Education/Training Program | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on KAITLIN MARIE 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.