Mackinsey Tessitore

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

30180 Marianne LN
Highland, CA 92346-5985

Phone

(909) 754-8073

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1750108759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30180 MARIANNE LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465985",
            "telephone_number": "909-754-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30180 MARIANNE LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465985",
            "telephone_number": "909-754-8073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 S Adams St Apt 9",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032134",
            "country_code": "US",
            "telephone_number": "909-754-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESSITORE",
        "first_name": "MACKINSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Joseph Swiderski
• Baraa Taleb, RPH
• Kyera E Tate
• Charlize Terrones
• Nazareth Tesfasilase, ADMIN, RN
• Hao Ngoc Thai, MD
• Timothy Thue, P.A.
• Marcel Tillman
• Ymelda Susana Tito
• Nancy Yvette Tomlinson, LVN

• Student in an Organized Health Care Education/Training Program in Highland, CA
• Providers in Highland, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.