Organization Active NPI

Mca Medical Consulting & More, PLLC

  • Gerontology Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1619468899
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP3156902 Issued in FL
Legal business name
MCA MEDICAL CONSULTING & MORE, PLLC
Practice address
5083 NW 22ND St
Gainesville, FL 32605-5475
Phone
(352) 888-6677
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Ms. Mary Catherine Mack, ARNP
Title
Nurse Practitioner/Owner
Phone
(352) 888-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X ARNP3156902 FL Primary

Addresses

Primary practice location

5083 NW 22ND St
Gainesville, FL 32605-5475

Mailing address

5083 NW 22ND St
Gainesville, FL 32605-5475
Phone (352) 888-6677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1619468899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5083 NW 22ND ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055475",
            "telephone_number": "352-888-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5083 NW 22ND ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055475",
            "telephone_number": "352-888-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCA MEDICAL CONSULTING & MORE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "352-888-6677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP3156902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.