Kathleen A Macisaac, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101277495 Issued in VA

Practice address

129 S Randolph St Unit 6
Lexington, VA 24450-2328

Phone

(540) 527-7323

Fax

(540) 242-3442

NPI assigned

Apr 10, 2008

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 10, 2020 through Aug 10, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vibrance Wellness LLC

  dba Healing Alternatives, Inc.

  • Acupuncturist
  • Altamonte Springs, FL
  • NPI 1922472000
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1942473921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S RANDOLPH ST UNIT 6",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502328",
            "telephone_number": "540-527-7323",
            "fax_number": "540-242-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S RANDOLPH ST UNIT 6",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502328",
            "telephone_number": "540-527-7323",
            "fax_number": "540-242-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACISAAC",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME49513",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0049513",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101277495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Lowman, NP
• Catherine D Lowry, LPTA
• Rebecca Lowry, ATC
• Lindsey Ann Loy, PHARMD
• Karen A Lyons, M.D.
• Jessica Maerz, MD
• Alise Magnuson, M.D.
• Kaitlyn Baleigh Mangone, COTA/L
• Amie A Manis, PHD, LPC
• Maple Hall Academy LLC (Maple Hall Academy)

• Otolaryngology Physician in Lexington, VA
• Providers in Lexington, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.