Individual provider Active NPI

Martha Mayella Mackesy, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1801530175
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
274030 Issued in AZ
Practice address
808 N 74TH PL
Scottsdale, AZ 85257-4323
Phone
(818) 523-2491
NPI assigned
Apr 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 274030 AZ Primary

Addresses

Primary practice location

808 N 74TH PL
Scottsdale, AZ 85257-4323

Mailing address

808 N 74TH PL
Scottsdale, AZ 85257-4323
Phone (818) 523-2491

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL martha.mackesy@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
274030AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1801530175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N 74TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574323",
            "telephone_number": "818-523-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 74TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574323",
            "telephone_number": "818-523-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKESY",
        "first_name": "MARTHA",
        "middle_name": "MAYELLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "274030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "martha.mackesy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "808 N 74th Pl",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852574323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.