Individual provider Active NPI

Kattie Kotowski Mackie, RN, NC-BC, CPT

  • Registered Nurse
  • Newark, DE
National Provider Identifier
1326417965
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L1-0046698 Issued in DE
Practice address
16 Polly Drummond SHPG Ctr
Newark, DE 19711-4861
Phone
(302) 367-5168
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0046698 DE Primary

Addresses

Primary practice location

16 Polly Drummond SHPG Ctr
Newark, DE 19711-4861

Mailing address

148 Coopers Dr
Newark, DE 19702-2120
Phone (302) 367-5168

Other practice location 1

1812 Newport Gap Pike
Wilmington, DE 19808-6179
Phone (302) 367-5168

Other names 1

  • Kate Mackie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0046698DEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1326417965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COOPERS DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022120",
            "telephone_number": "302-367-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POLLY DRUMMOND SHPG CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114861",
            "telephone_number": "302-367-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 Newport Gap Pike",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198086179",
            "country_code": "US",
            "telephone_number": "302-367-5168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "KATTIE",
        "middle_name": "KOTOWSKI",
        "credential": "RN, NC-BC, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0046698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MACKIE",
            "credential": "RN, NC-BC, CPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.