BERNADETTE MCKENZIE (NPI# 1184075392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184075392 |
| Entity Type | Individual |
| Full Name | BERNADETTE MCKENZIE |
| Practice Address |
587 E Sr 434 Unit 1021 Longwood FL 32750-5284 |
| Mailing Address |
210 Dixie Dr Apt C2 Tallahassee FL 32304-3084 |
| Practice Telephone | 4073318002 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
587 E SR 434 UNIT 1021 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-5284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867702 | Sebastiana Halpin | Counselor | 254 S Ronald Reagan Blvd Ste 134, Longwood, FL 32750-5490 | 2020-07-01 |
| 1972152577 | Lauren Marie Eadie | Counselor | 300 N Ron Reagan Blvd Ste 302, Longwood, FL 32750-5902 | 2019-09-05 |
| 1679129647 | Renee Storm | Counselor | 111 S Sweetwater Blvd, Longwood, FL 32779-3415 | 2019-08-14 |
| 1669969655 | Lindsey V Birmele | Counselor | 300 N Ronald Reagan Blvd Ste 206, Longwood, FL 32750-4162 | 2018-04-16 |
| 1518466879 | Tyler Wild | Counselor | 740 Florida Central Pkwy Ste 2008, Longwood, FL 32750-7653 | 2018-02-01 |
| 1992171052 | Santa Rowley | Counselor | 118 Heather Hl, Longwood, FL 32750-3804 | 2015-08-12 |
| 1376937904 | Eric Wettstein | Counselor | 480 Winding Creek Pl, Longwood, FL 32779-6117 | 2015-03-20 |
| 1811380108 | Taryn Stevenson | Counselor | 1907 Lucky Trl, Longwood, FL 32750-3315 | 2015-03-10 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1174921415 | Focus On You, Integrated Psychiatry and Counseling, LLC | Counselor | 1521 Sunshine Tree Blvd, Longwood, FL 32779-2752 | 2014-12-19 |
| Find all providers in LONGWOOD | ||||
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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.