MACKENZIE R. DEGRAFF (NPI# 1821467473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821467473 |
| Entity Type | Individual |
| Full Name | MACKENZIE R. DEGRAFF |
| Credential | CPNP-PC |
| Practice Address |
5875 Bremo Rd Ste 500 Richmond VA 23226-1928 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 8042973055 |
| Practice Fax Number | 8042973056 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024172965 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5875 BREMO RD STE 500 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235232661 | Douglas R Allen | Pediatrics | 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 | 2006-09-07 |
| 1255880548 | Joyti Khokhar | Genetic Counselor, MS | 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 | 2016-09-27 |
| 1336341239 | Andrew Seung-eun Kim | Pediatrics | 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 | 2007-06-03 |
| 1669681094 | Jennifer B Humberson | Medical Genetics | 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407231582 | Abigail L Easter | Nurse Practitioner | 1001 Hoiaks Rd, Richmond, VA 23225-4029 | 2015-07-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1356547806 | Kathleen Mary Tauer | Nurse Practitioner | 700 E Franklin St, Dept of Juvenile Justice, Richmond, VA 23219-2328 | 2007-06-22 |
| 1154545580 | Shannon Flaherty | Nurse Practitioner | Vcu Medical Center Department of Emergency Medicine, 1201 E. Marshall St, Richmond, VA 23298-0401 | 2007-04-13 |
| 1356422539 | Beverly Hoehing | Nurse Practitioner | 1000 E Broad Street, Richmond, VA 23298 | 2006-10-17 |
| 1831128461 | Tiffany Clarke Lancaster | Nurse Practitioner | 10410 Ridgefield Parkway, Richmond, VA 23233 | 2006-07-03 |
| 1780298620 | Tara Lynne Taylor | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-08 |
| 1336700566 | Yu-yu Chao Du | Nurse Practitioner | 3600 W Broad St, Richmond, VA 23230-4915 | 2019-06-27 |
| 1053978239 | Brittany Siller | Nurse Practitioner | 7001 Forest Ave Ste 103, Richmond, VA 23230-1726 | 2019-05-23 |
| 1851867691 | Caroline Hughes | Nurse Practitioner | 10410 Ridgefield Pkwy, Richmond, VA 23233-3500 | 2018-10-19 |
| Find all providers in RICHMOND | ||||
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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.