Bonnie Therese Mackey, NP,PHD

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305368 Issued in NY

Practice address

3177 Meridian Way S Apt 3
Palm Beach Gardens, FL 33410-5055

Phone

(315) 246-8559

Fax

(561) 892-2999

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1154634723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 STATE ROUTE 90",
            "city": "LOCKE",
            "state": "NY",
            "postal_code": "130924108",
            "telephone_number": "315-246-8559",
            "fax_number": "561-892-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 MERIDIAN WAY S APT 3",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105055",
            "telephone_number": "315-246-8559",
            "fax_number": "561-892-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12727 State Route 90",
            "address_purpose": "LOCATION",
            "city": "Locke",
            "state": "NY",
            "postal_code": "130924108",
            "country_code": "US",
            "telephone_number": "315-246-8559",
            "fax_number": "561-892-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "BONNIE",
        "middle_name": "THERESE",
        "credential": "NP,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305368",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1503092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Rose Macdougall, ARNP
• Karly Marie Macfarlane, BCBA
• Alexi Machado
• Meily Machado, DPM
• Brandon Mackenzie
• Mitchell Mackey, DC
• Stephanie Mackey
• Robert Mackler, MD
• Maria Madrigal
• Stefani Maestre

• Adult Health Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.