Active NPI
Jana M Mackay, A.R.N.P.
- Family Nurse Practitioner
- Lebanon, NH
National Provider Identifier
1356319909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 037924-23-03
- Practice address
- 24 Old Etna Road
Lebanon Center Genesis
Lebanon, NH 03301-7504 - Phone
- (603) 448-2234
- Fax
- (603) 448-2087
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 037924-23-03 | NH | Primary |
Addresses
Primary practice location
24 Old Etna Road
Lebanon Center Genesis
Lebanon, NH 03301-7504
Mailing address
545 Palisado Ave
Genesis Physician SVCS.
Windsor, CT 06095-2071
Phone (860) 687-3629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30340527 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Ear, Nose & Throat, LLC | Past | Accepting new patients | |
| Ear Nose & Throat Medicine & Surgery of Portsmouth PA | Past | Accepting new patients | |
| Genesis Elder Care Physician Services LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBHCDD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Portsmouth, NH
- NPI 1720208820
-
- Otolaryngology Physician
- Kittery, ME
- NPI 1659497444
-
- Geriatric Medicine (Internal Medicine) Physician
- Warwick, RI
- NPI 1194774943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1356319909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 PALISADO AVE",
"address_2": "GENESIS PHYSICIAN SVCS.",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952071",
"telephone_number": "860-687-3629",
"fax_number": "860-687-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 OLD ETNA ROAD",
"address_2": "LEBANON CENTER GENESIS",
"city": "LEBANON",
"state": "NH",
"postal_code": "033017504",
"telephone_number": "603-448-2234",
"fax_number": "603-448-2087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "JANA",
"middle_name": "M",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "037924-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30340527",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.