Raedawn Tarnisha Mackey

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09952 Issued in LA

Practice address

2221 Philip St
New Orleans, LA 70113-2525

Phone

(504) 620-5424

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excelth, IncorporatedGroup PAC ID 9830364629, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excelth, Incorporated

  dba EXCELth Family Health Center

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1699114991
  Medicare reassignment Care Compare group NPD
• Excelth, Incorporated

  dba EXCELth Family Health Center-Algiers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1003101346
  NPD

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1811478803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 FRANKLIN AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701226205",
            "telephone_number": "504-648-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PHILIP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132525",
            "telephone_number": "504-620-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 General Degaulle Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701146632",
            "country_code": "US",
            "telephone_number": "504-620-5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "RAEDAWN",
        "middle_name": "TARNISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schwanda Mack
• Shenell Mack
• Philomena Patience Kerubo Mackean
• Charlene Essie Mackey, RRT
• Megan Cathrine Mackey, C.N.M.
• Senita Mackey
• Jade Mackie
• Ladoya C Macklin
• Leya Makira Macklin
• Dana Maclean, APRN, NNP-BC

• Psychiatric/Mental Health Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.