MR. MICHAEL B. MCKENZIE (NPI# 1265464226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265464226 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL B. MCKENZIE |
| Credential | ARNP |
| Practice Address |
19611 Sr 20 W Blountstown FL 32424-3917 |
| Practice Telephone | 8506745645 |
| Practice Fax Number | 8506745420 |
| Mailing Telephone | 8506745645 |
| Mailing Fax Number | 8506745420 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1486662 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 027949891 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841402211 | Michael Lee Mckenzie | Dentist | 7494 Covington Hwy, Lithonia, GA 30058-7612 | 2007-05-05 |
| 1538146725 | Michael Joachim Mckenzie | Family Medicine | 200 E Hallandale Beach Blvd, Hallandale Beach, FL 33009 | 2005-12-28 |
| 1598147795 | Michael Mckenzie | Dentist | 2903 Saint Marys Ave, Hannibal, MO 63401-3714 | 2015-06-24 |
| 1770977530 | Michael Mckenzie | Dentist | 51 W 51st St, Suite 350, New York, NY 10019-6113 | 2015-03-19 |
| 1215947866 | Michael Steven Mckenzie | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-08 |
| 1518999895 | Michael David Mckenzie | Pediatrics | 218 N Main St, Natick, MA 01760-1139 | 2006-07-07 |
| 1184613507 | Michael Mckenzie | Internal Medicine | 19725 Allen Rd, Suite 101, Brownstown Twp, MI 48183-1090 | 2005-10-18 |
| Street Address |
19611 SR 20 W |
| City | BLOUNTSTOWN |
| State | FL |
| Zip Code | 32424-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275546582 | Rita Smith | Nurse Practitioner | 19611 Sr 20 W, Blountstown, FL 32424-3917 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738796 | Marsana Brunner | Nurse Practitioner | 16875 Ne Cayson St, Blountstown, FL 32424 | 2017-02-10 |
| 1316395890 | Panhandle Home Care | Home Health | 16364 Sw Chipola Road, Blountstown, FL 32424 | 2016-05-25 |
| 1659743813 | Tender Loving Enrichment Services | Custodial Care Facility | 17434 Nw 11th St, Blountstown, FL 32424 | 2015-10-28 |
| 1992040034 | Heather Montford King | Social Worker | 10611 Nw Sr 20, Bristol, FL 32424 | 2012-11-30 |
| 1821305988 | Senior Dental Care, LLC | Dentist | 20120 Central Avewest, Blountstown, FL 32424 | 2010-09-09 |
| 1164756359 | Amy Kleinrichert Hurt | Speech-Language Pathologist | 19977 N.e. Marie Ave., Blountstown, FL 32424 | 2009-09-22 |
| 1477725315 | Torreya Emergency Physicians | Emergency Medicine | 424 Burns Avenue, Blountstown, FL 32424 | 2008-04-01 |
| 1770793184 | Alexandra Kimbrel | Pharmacist | 20700 Central Ave W, Blountstown, FL 32424 | 2007-05-23 |
| 1770628315 | Howell Stewart Goodman Sr. | Pharmacist | 17324 Main Street North, Blountstown, FL 32424 | 2007-02-21 |
| 1831237825 | Patricia F. Lowther | Speech-Language Pathologist | 5901 Whitfield Ave., Sarasota, FL 32424 | 2007-02-02 |
| Find all providers in zip 32424 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOUNTSTOWN |
| Zip Code | 32424 |
Please comment or provide details below to improve the information on MR. MICHAEL B. MCKENZIE.
| 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.