MACKENZIE MARIE EVANS (NPI# 1063930683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063930683 |
| Entity Type | Individual |
| Full Name | MACKENZIE MARIE EVANS |
| Practice Address |
2380 Branleigh Park Ct Reston VA 20191 |
| Practice Telephone | 7039457327 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151843 | Mackenzie Rick Evans | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-16 |
| 1235670001 | Mackenzie Katherine Evans | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2017-03-13 |
| Street Address |
2380 BRANLEIGH PARK CT |
| City | RESTON |
| State | VA |
| Zip Code | 20191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| 1528237625 | Patane & Associates Physical Therapy, LLC | Physical Therapist | 12310 Pinecrest Rd Suite 207, Reston, VA 20191 | 2008-02-22 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639701592 | Haelee Duren Pettingill Cohen | Student in an Organized Health Care Education/Training Program | 12014 Waterside View Dr Apt 14, Reston, VA 20194-1758 | 2020-02-09 |
| 1649818816 | Qing Shu | Student in an Organized Health Care Education/Training Program | 1921 Belmont Ridge Ct, Reston, VA 20191-5445 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891520 | Frank Chilli | Student in an Organized Health Care Education/Training Program | 5 Oakland Dr, Newport News, VA 23601-3622 | 2020-11-08 |
| 1386245074 | Jason Schatti | Student in an Organized Health Care Education/Training Program | 1540 Gallery Ave, Virginia Beach, VA 23454-5605 | 2020-11-08 |
| 1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
| 1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
| 1871192500 | Caitie Rae Warren | Student in an Organized Health Care Education/Training Program | 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 | 2020-10-23 |
| 1487253357 | James Joseph Hansler | Student in an Organized Health Care Education/Training Program | 1795 Saint Andrews Cir, Blacksburg, VA 24060-0252 | 2020-10-22 |
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1982201760 | Jaime Lyn Van Kirk | Student in an Organized Health Care Education/Training Program | 233 Padgetts Ordinary, Williamsburg, VA 23185-5578 | 2020-10-05 |
| 1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
| 1851998041 | Leslie-anne Flego | Student in an Organized Health Care Education/Training Program | 4523 Arendale Sq, Alexandria, VA 22309-1217 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MACKENZIE MARIE EVANS.
| 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.