MACKENZIE JEANNE DAVIS (NPI# 1063962611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063962611 |
| Entity Type | Individual |
| Full Name | MACKENZIE JEANNE DAVIS |
| Credential | CPNP-PC |
| Practice Address |
800 Cove Pkwy Cottonwood AZ 86326-4644 |
| Practice Telephone | 9286493003 |
| Mailing Telephone | 9286493003 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP9024 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
TAP9024 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191908 | Mackenzie Rae Davis | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-12 |
| 1548897887 | Mackenzie Elizabeth Davis | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-03-25 |
| 1376103705 | Mackenzie Caroline Davis | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2019-06-18 |
| 1700366556 | Mackenzie Davis | Behavior Technician | 1003 7th Ave, Kirkland, WA 98033-5779 | 2018-08-20 |
| Street Address |
800 COVE PKWY |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023085115 | Red Rock Pediatrics | Pediatrics | 800 Cove Pkwy, Cottonwood, AZ 86326-4644 | 2006-03-07 |
| 1811125545 | Jennifer Christy | Pediatrics | 800 Cove Pkwy, Cottonwood, AZ 86326-4644 | 2009-07-01 |
| 1700948098 | Wendy T Katzenstein-tuccille | Pediatrics | 800 Cove Pkwy, Cottonwood, AZ 86326-4644 | 2006-12-14 |
| 1063571206 | Alice Meyer | Nurse Practitioner | 800 Cove Pkwy, Cottonwood, AZ 86326-4644 | 2006-12-06 |
| 1659486355 | Danielle R Parrott | Pediatrics | 800 Cove Pkwy, Cottonwood, AZ 86326-4644 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961425 | Christian Reese Newsom | Nurse Practitioner | 6980 E Sahuaro Dr Apt 1085, Scottsdale, AZ 85254-5295 | 2020-10-29 |
| 1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
| 1821650201 | Rebekah Ellen Charry | Nurse Practitioner | 115 Calle Portal Ste 700, Sierra Vista, AZ 85635-2950 | 2019-07-05 |
| 1326606146 | Mollie Finn | Nurse Practitioner | 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 | 2019-06-05 |
| 1134698160 | Kayla Rose Percy | Nurse Practitioner | 1205 N F Ave, Douglas, AZ 85607-1920 | 2018-11-20 |
| 1063987683 | Katherine Anne Bassler | Nurse Practitioner | 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 | 2018-10-10 |
| 1134613607 | Brittany Kunz | Nurse Practitioner | 2456 E Fairview Cir, Mesa, AZ 85204-5421 | 2018-06-19 |
| 1124526884 | Kidnurse, LLC | Nurse Practitioner | 1550 S Alma School Rd Ste 275, Mesa, AZ 85210-2107 | 2018-01-29 |
| 1407354244 | Mariah Karyn White | Nurse Practitioner | 13065 W Mcdowell Rd Ste C130, Avondale, AZ 85392-6448 | 2018-01-26 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.