Active NPI
Melissa Ebner Mackinnon, DNP, FNP-BC
- Family Nurse Practitioner
- Denver, CO
National Provider Identifier
1891023131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10132
- Practice address
- 7535 E Hampden Ave Ste 400
Denver, CO 80231-4844 - Phone
- (303) 807-8192
- NPI assigned
- Nov 24, 2009
- Last updated
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP10132 | CO | |
| Family Nurse Practitioner | 363LF0000X | 10132 | CO | Primary |
Addresses
Primary practice location
7535 E Hampden Ave Ste 400
Denver, CO 80231-4844
Mailing address
7535 E Hampden Ave Ste 400
Denver, CO 80231-4844
Phone (303) 807-8192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50002759 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10132 | CO | MD | Family Nurse Practitioner |
| NP10132 | CO | MD | Family Nurse Practitioner |
Interoperability endpoints
- mmackinnon@directaddress.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1891023131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 E HAMPDEN AVE STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802314844",
"telephone_number": "303-807-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 E HAMPDEN AVE STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802314844",
"telephone_number": "303-807-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKINNON",
"first_name": "MELISSA",
"middle_name": "EBNER",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "NP10132",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "10132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50002759",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.