Active NPI
Kayla C Mackanin, BS
- Student in an Organized Health Care Education/Training Program
- Tampa, FL
National Provider Identifier
1730520271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PSI29128
- Practice address
- 3603 Data Dr
Apt 301
Tampa, FL 33613-2793 - Phone
- (201) 835-9038
- NPI assigned
- Jul 12, 2013
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSI29128 | FL | Primary |
Addresses
Primary practice location
3603 Data Dr
Apt 301
Tampa, FL 33613-2793
Mailing address
3603 Data Dr
Apt 301
Tampa, FL 33613-2793
Phone (201) 835-9038
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSI29128 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1730520271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 DATA DR",
"address_2": "APT 301",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132793",
"telephone_number": "201-835-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 DATA DR",
"address_2": "APT 301",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132793",
"telephone_number": "201-835-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKANIN",
"first_name": "KAYLA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "PSI29128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.