Individual provider Active NPI

Melissa Ebner Mackinnon, DNP, FNP-BC

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1891023131
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10132 Issued in CO
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50002759MedicaidCO

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

LicenseStateTypeSpecialty
10132COMDFamily Nurse Practitioner
NP10132COMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.