KENT MACKIE APRN/CNP NPI 1689129918

NPI Information

NPI: 1689129918
Provider Name: KENT MACKIE, APRN/CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1100 HOSPITAL DR
BATAVIA, OH
ZIP 45103
Phone: (513) 834-7063
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Kent Mackie, APRN/CNP is a family nurse practitioner in Batavia, OH with 8 years of experience. Kent Mackie, APRN/CNP NPI is 1689129918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1100 HOSPITAL DR
BATAVIA, OH
ZIP 45103-920
Phone: (513) 834-7063
Fax: (513) 873-1567

The NPI 1689129918 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2016 and was last updated on 4/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		APRN.CNP.019833	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.019833	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0214389	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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