Madeline Mackenzie Mahoney, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

737575 Issued in NY

Practice address

115 Concord Dr
Ballston Spa, NY 12020-2305

Phone

(315) 867-7220

NPI assigned

Jun 7, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1831828623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONCORD DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CONCORD DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202305",
            "telephone_number": "315-867-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MADELINE",
        "middle_name": "MACKENZIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "737575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Theresa Loehle
• Sarah Lucky, LMSW
• Samantha Mabee, LMSW
• Joseph Mackinnon, PHARMD/MBA
• Kathleen Jacqueline Magner, DO
• Julia Malin, MD
• Amanda Christine Maloney, LMSW
• Malta Chiropractic PC
• Malta Foot Specialists
• Malta Medical Care, P.C.

• Registered Nurse in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.