M O D & Associates Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

M O D & ASSOCIATES INC

Practice address

888 Graham Dr
Ste 100
Tomball, TX 77375-3322

Phone

(574) 253-1728

Fax

(832) 559-8514

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Kathy Mackay, MSN, FNP

Title

President FNP

Phone

(574) 253-1728

Specialties & licenses 1

Addresses

Other names 1

• Bradley Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Macnak, MSN, FNP

  • Family Nurse Practitioner
  • Tomball, TX
  • NPI 1437120128
  Medicare reassignment

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1972911329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1531",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771531",
            "telephone_number": "574-253-1728",
            "fax_number": "832-559-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 GRAHAM DR",
            "address_2": "STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753322",
            "telephone_number": "574-253-1728",
            "fax_number": "832-559-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M O D & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT  FNP",
        "authorized_official_telephone_number": "574-253-1728",
        "authorized_official_credential": "MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Luedde, LPC
• Lwchealth,LLC
• Felipe Ly, O.D.
• Rachel Marie Lynch
• Karen Carter Lyon, PHD RN CNS
• M. Atif Rahi, M.D., PA
• Anh Ngoc Ma, FNP
• Kathy Macnak, MSN, FNP
• Mai Vantage Dental PLLC
• Jennifer Mai, D.D.S.

• Family Nurse Practitioner in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.