PHYLLIS MACKAMUL LPN
NPI 1801488622
Licensed Practical Nurse in Worcester, MA

Active since February 04, 2021
12A MOUNT VERNON ST, WORCESTER, MA 01605(239) 308-8831 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Mackamul Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS MACKAMUL LPN (NPI 1801488622) is an individual licensed practical nurse in Worcester, Massachusetts, licensed in Massachusetts (LN99200) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1801488622
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePHYLLIS MACKAMULCredential: LPN
Location Address12A MOUNT VERNON STWorcester, MA 01605-3465
Mailing Address12a Mount Vernon StWorcester, MA 01605-3465 · (239) 308-8831
Sole ProprietorYes
Enumeration DateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
NPI 1801488622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MA · LN99200
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
12A MOUNT VERNON ST, Worcester, MA 01605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Mackamul's NPI number?

The NPI number for Phyllis Mackamul is 1801488622. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Phyllis Mackamul located?

Phyllis Mackamul practices at 12A Mount Vernon St, Worcester, MA 01605. The listed phone number is (239) 308-8831.

What is Phyllis Mackamul's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Mackamul was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.