DR. WAYNE MACKENZIE SR.


Address: 319 N Litchfield Rd Ste 105, Goodyear, AZ 85338-1256
Phone: 6232241162

DR. WAYNE MACKENZIE SR. (NPI# 1144589086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144589086
Entity Type Individual
Full Name DR. WAYNE MACKENZIE SR.
Credential NURSE PRACTITIONER
Practice Address 319 N Litchfield Rd Ste 105
Goodyear
AZ 85338-1256
Practice Telephone 6232241162
Practice Fax Number 8883463899
Mailing Telephone 6232241162
Mailing Fax Number 8883463899
Enumeration Date 2012-05-13
Last Update Date 2020-01-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201250163NP OR Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP4913 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
707607 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ QXIPQ0000098776 05
AZ AHCCCS 804045 01

Office Location

Street Address 319 N LITCHFIELD RD STE 105
City GOODYEAR
State AZ
Zip Code 85338-1256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205467917 Destini Dawn Mayfield Registered Nurse 319 N Litchfield Rd Ste 105, Goodyear, AZ 85338-1256 2020-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295226884 Caroline Chang Dentist 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 2018-05-20
1609376714 Rosanna Alvarez Licensed Practical Nurse 17432 W Elaine Dr, Goodyear, AZ 85338 2018-02-15
1023534419 Jennifer Elizabeth Lawrence Dixon Social Worker 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 2017-08-17
1346774916 Vanessa Castillo Specialist/Technologist 18035 W. Yuma Rd, Goodyear, AZ 85338 2017-04-20
1386008076 Hope Behavioral Health Residential Care Substance Abuse Rehabilitation Facility 15985 W.williams Street, Goodyear, AZ 85338 2016-04-08
1952760241 Jeremy John Abdul-haqq Dentist 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 2016-02-16
1417206897 Kelly Renee Filo Occupational Therapy Assistant 10189 S. Hacienda Dr., Goodyear, AZ 85338 2012-08-31
1194015545 Nancy Ann Amore Licensed Practical Nurse 15578 W Yuma Road, Goodyear, AZ 85338 2011-04-19
1932409208 Chung Counihan Pharmacist 9890 S Estrella Parkway, Goodyear, AZ 85338 2010-11-02
1053611327 Traven Anderson Pharmacist 9890 South Estrella Parkway, Goodyear, AZ 85338 2010-11-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922608447 Courtney Tafoya Nurse Practitioner 544 S 172nd Ave, Goodyear, AZ 85338-1281 2020-10-26
1205451291 Veronica Kongnyuy Nurse Practitioner 224 S 151st Ave, Goodyear, AZ 85338-2948 2020-06-15
1225513138 Karlton Nicholson I Nurse Practitioner 16336 W Mesquite Dr, Goodyear, AZ 85338-4648 2018-09-26
1376545772 James Jurow Nurse Practitioner 14488 W Cora Ln, Goodyear, AZ 85338-8302 2005-08-15
1144836586 Veracity Health Solutions Pllc Nurse Practitioner 224 S 151st Ave, Goodyear, AZ 85338-2948 2020-09-21
1952937286 Generational Wellness, Pllc Nurse Practitioner 13210 W Van Buren St Ste 100, Goodyear, AZ 85338-1164 2020-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215536479 Yolanda D Baugh Nurse Practitioner 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 2020-10-20
1871191593 Lisa E Legg Nurse Practitioner 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 2020-10-14
1619584406 Preston Strebeck Nurse Practitioner 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 2020-09-25
1336754332 Yvonne Maese Nurse Practitioner 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 2020-09-15
1306450960 Williamsconsultant Com LLC Nurse Practitioner 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 2020-09-01
1215549274 Maria Graciela Cornejo Nurse Practitioner 3421 S Loback Ln, Gilbert, AZ 85297-7913 2020-08-20
1013529155 Mark Skousen Nurse Practitioner 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 2020-08-19
1356953699 Rebecca Jane Turley Nurse Practitioner 1681 S Villas Ln, Chandler, AZ 85286-6805 2020-08-18
1467064063 Dylan O'keefe Carey Nurse Practitioner 11702 W Fordson Dr, Marana, AZ 85653-7715 2020-08-17
1053923599 Nancy Ogoti Monyenye Nurse Practitioner 2518 E Indian Wells Pl, Chandler, AZ 85249-4166 2020-08-17
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Competitor

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City GOODYEAR
Zip Code 85338

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Dataset Information

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.

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