DR. HEATHER L MCKENZIE (NPI# 1053335059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053335059 |
| Entity Type | Individual |
| Full Name | DR. HEATHER L MCKENZIE |
| Credential | M.D. |
| Practice Address |
12001 South Fwy Ste 302 Burleson TX 76028-7215 |
| Practice Telephone | 8178542210 |
| Practice Fax Number | 8339632128 |
| Mailing Telephone | 8178542210 |
| Mailing Fax Number | 8339632128 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M0487 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 182926904 | 05 | |
| TX | BCBS | 8A1143 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3517 Sw Wilshire Blvd, Joshua, TX 760586159 | 8174471151 | 8175298927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811930431 | Heather A Mckenzie | Physical Medicine & Rehabilitation | 610 North Main, San Antonio, TX 78205-1204 | 2006-06-13 |
| 1639657521 | Heather Mckenzie | Pain Medicine | 2177 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2018-08-01 |
| 1972820256 | Heather Marie Mckenzie | Counselor | 3434 Kildaire Farm Rd, Suite 135 - 535, Raleigh, NC 27518-2278 | 2010-04-27 |
| 1942462874 | Heather D Mckenzie | Dietitian, Registered | 1105 Central Expy N, Ste 100, Allen, TX 75013-6103 | 2008-07-01 |
| 1669678058 | Heather Rose-anne Mckenzie | Anesthesiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2007-06-22 |
| 1912959701 | Heather Marie Mckenzie | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2006-05-17 |
| Street Address |
12001 SOUTH FWY STE 302 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629244777 | Crissy Diane Welch | Nurse Practitioner | 12001 South Fwy Ste 302, Burleson, TX 76028-7215 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1134637820 | Sarah Ann Mitchell | Family Medicine | 12001 South Fwy Ste 210, Burleson, TX 76028-7214 | 2018-01-16 |
| 1417233586 | Michael J Polski Md Pa | Family Medicine | 1310 Nw John Jones Dr, Burleson, TX 76028-8040 | 2011-11-02 |
| 1720223662 | Plaza Primary Care Pllc | Family Medicine | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8716 | 2008-12-05 |
| 1245303916 | Richard Stephen Fleischer | Family Medicine | 1501 Sw Wilshire Blvd, Burleson, TX 76028-8715 | 2006-11-17 |
| 1063432847 | Precious J Marquart | Family Medicine | 265 Se John Jones Dr Ste 110, Burleson, TX 76028-8355 | 2006-07-21 |
| 1467494807 | Ruth Ann Adell | Family Medicine | 12608 South Fwy Ste 140, Burleson, TX 76028-8435 | 2006-06-11 |
| 1699738062 | Michael Allen Rhodes | Family Medicine | 101 Nw Renfro St, Suite 100, Burleson, TX 76028-4111 | 2006-04-07 |
| 1184600397 | Burlyn Craig Nelon | Family Medicine | 434 Sw Wilshire Blvd, Burleson, TX 76028-5330 | 2005-12-20 |
| 1861498503 | John Gregory Hoffman | Family Medicine | 2730 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2005-06-27 |
| Find all providers in BURLESON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.