Bernadette Anne Mackey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10311910 Issued in NY

Practice address

543 Beaver LN
Ronkonkoma, NY 11779-6018

Phone

(631) 626-9492

NPI assigned

Oct 1, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1760733620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 BEAVER LN",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796018",
            "telephone_number": "631-626-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 BEAVER LN",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796018",
            "telephone_number": "631-626-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "BERNADETTE",
        "middle_name": "ANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10311910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Macaluso, M.A. CF-SLP, TSSLD
• Kara Macannuco, MS ED
• Julianne I Maccarone, OT
• Samantha Macejko, OTR
• Victoria Machlica
• Jenna Mackey
• Tyler Madore, LCSW
• Margaret M Magee, RN, LMT
• Magic Hands, LLC
• George Kenneth Maher

• Licensed Practical Nurse in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.