DR. ANGELA KAY STAPLETON-MACKENZIE M.D. NPI 1518969575

NPI Information

NPI: 1518969575
Provider Name: DR. ANGELA KAY STAPLETON-MACKENZIE, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
731 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 257-1626
Get Directions

DR. Angela Kay Stapleton-mackenzie, M.D. is an adult medicine family medicine in Daytona Beach, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Angela Kay Stapleton-mackenzie, M.D. NPI is 1518969575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

731 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114-603
Phone: (386) 257-1626

The NPI 1518969575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 6/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		136291	CALIFORNIA	No
2	207Q00000X	Family Medicine		113071	MISSOURI	No
3	207Q00000X	Family Medicine		MD60776458	WASHINGTON	No
4	207QA0505X	Family Medicine	Adult Medicine	ME161192	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205213010	MEDICAID	MISSOURI
2	27472051	OTHER	MISSOURI	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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