Kirsten K. Mackey, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A13533 Issued in CA

Practice address

10368 Donner Pass Rd
Truckee, CA 96161-0427

Phone

(530) 213-0709

NPI assigned

Mar 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kmackey48957@direct.renown.org

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.

• Leland H. Dao, D.O. Inc

  • Clinic/Center
  • Haleiwa, HI
  • NPI 1619234820
  NPD (past)
• Renown Medical School Associates North, Inc.

  • Family Medicine Physician
  • Reno, NV
  • NPI 1992842660
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1740579754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10368 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610427",
            "telephone_number": "530-213-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610427",
            "telephone_number": "530-213-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Charlotte St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597182741",
            "country_code": "US",
            "telephone_number": "406-219-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "KIRSTEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "102858",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Lybarger, PA-C
• Jessica Katherine Lyons-Farino, RPA-C
• Andrea Ann Lysak, RNFA
• Melissa D Macco, OD
• Linda Mackenzie, RN, BCB
• Sophia Maclean, RN
• Michael Bruce Macquarrie, MD
• Shaylin Malia Madrid, MSW, LCSW
• Tabitha Marcella Magner
• Pamela Dawn Maher, NE

• Family Medicine Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.