KRISTIN TAYLOR MACK (NPI# 1821623679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821623679 |
| Entity Type | Individual |
| Full Name | KRISTIN TAYLOR MACK |
| Practice Address |
229 North Main Street Smyrna DE 19977 |
| Practice Telephone | 3022768483 |
| Mailing Telephone | 3022768483 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1609423813 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447539507 | Kristin L Mack | Family Medicine | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883 | 2011-08-08 |
| Street Address |
229 NORTH MAIN STREET |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| 1306110630 | We Care 1st Medical Transportation, LLC | Non-emergency Medical Transport (VAN) | 4386 Wheatleys Pond Road, Smyrna, DE 19977 | 2012-03-05 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265093330 | Ronny Alejandro Ramirez | Student in an Organized Health Care Education/Training Program | 4252 Laurel Brook Dr Se, Smyrna, GA 30082-4319 | 2019-06-27 |
| 1245795707 | Caragh Kelly Fane-hervey | Student in an Organized Health Care Education/Training Program | 604 Countryside Pl Se, Smyrna, GA 30080-8238 | 2019-02-08 |
| 1144727116 | Christine Anjanette Sipple | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se Ste B, Smyrna, GA 30082-2616 | 2018-04-06 |
| 1396248233 | Aditya Oza | Student in an Organized Health Care Education/Training Program | 4280 Ridgehurst Dr Se, Smyrna, GA 30080-3113 | 2018-03-16 |
| 1528566163 | Edward John Kaiser | Student in an Organized Health Care Education/Training Program | 5 Margie Dr, Smyrna, DE 19977-7717 | 2018-01-29 |
| 1568997039 | Tyeisha Lingham | Student in an Organized Health Care Education/Training Program | 66 W Braeburn Dr, Smyrna, DE 19977-3925 | 2017-04-21 |
| 1619419322 | Tamara Bell | Student in an Organized Health Care Education/Training Program | 274 Cumberland Way Se, Smyrna, GA 30080-7765 | 2016-11-11 |
| 1205072501 | Meghan Elizabeth Muldoon | Student in an Organized Health Care Education/Training Program | 3455 Paces Ferry Cir Se, Smyrna, GA 30080-3122 | 2008-12-17 |
| 1891324414 | Connor James O'sullivan | Student in an Organized Health Care Education/Training Program | 562 Concord Rd Se, Smyrna, GA 30082-2608 | 2020-04-06 |
| 1316576010 | Nidhi N Patel | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se Ste B, Smyrna, GA 30082-2616 | 2020-04-04 |
| Find all providers in SMYRNA | ||||
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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.