Bonnie Jean Mackin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

443088 Issued in TX

Practice address

5445 La Branch St
Houston, TX 77004-6835

Phone

(713) 525-7997

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

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.

• Medical Anesthesia Associates, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1104868686
  NPD (past)
• Texas Pain Consultants, LLP

  dba Texas Pain Consultant Associates, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Sugar Land, TX
  • NPI 1932211992
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497704472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 OLD ALVIN RD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77581",
            "telephone_number": "281-997-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LA BRANCH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046835",
            "telephone_number": "713-525-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIN",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "443088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "443088",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Lynn Mackenzie-Graham Getty, D.C.
• Allison Mackenzie, LPC
• David Craig Mackey, MD
• Joy Mackey, M.D.
• Thomas A Mackey, PHD, NP-C
• Samantha M Mackinnon, RD, LD
• Rosa Macklin-Hinkle, PSY D
• Amy Macklin, PTA
• Trinity Macklin
• Samuel Peter Mackoff, MD

• Certified Registered Nurse Anesthetist in Houston, TX
• Providers in Houston, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.