MRS. PATRICIA FLYNN MCKENZIE (NPI# 1861538654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861538654 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA FLYNN MCKENZIE |
| Credential | B.C, A.N.P. |
| Practice Address |
915 N Grand Blvd Primary Care Service Line Saint Louis MO 63106-1621 |
| Mailing Address |
16134 Barrier Reef Ct Grover MO 63040-1815 |
| Practice Telephone | 3146524100 |
| Mailing Telephone | 6365270758 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
143563 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428744205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447323035 | Patricia Ann Mckenzie | Registered Nurse | 1854 Jonesboro Road, Lake Wood Health Center, Atlanta, GA 30315 | 2006-11-15 |
| 1063932317 | Patricia Mckenzie | Clinic/Center | 3292 Plumlee Ct, Grand Island, FL 32735-9013 | 2017-06-27 |
| 1144683764 | Patricia Mckenzie | Occupational Therapist | 365 S Industrial Blvd, Calhoun, GA 30701-3075 | 2016-03-31 |
| 1356554547 | Patricia Marie Mckenzie | Home Health | 696 Dutchess Tpke, Poughkeepsie, NY 12603-6444 | 2007-05-07 |
| 1174682470 | Patricia Mckenzie | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2006-12-06 |
| 1477561868 | Patricia Kay Mckenzie | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-08-03 |
| Street Address |
915 N GRAND BLVD PRIMARY CARE SERVICE LINE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63106-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115480 | Jamie Lynn Swanson | Physician Assistant | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2005-06-21 |
| 1821602756 | Courtney Kay Duberry | Optometrist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-09-08 |
| 1043820053 | Kathryn Marie Storm | Pharmacist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-08-04 |
| 1326657230 | Rebecca Oluwafunmito Babalola | Pharmacist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-27 |
| 1639787328 | Justin Clarke Liedke | Pharmacist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-19 |
| 1639796899 | Taylor Anderson | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-02 |
| 1427675800 | Lauren Elizabeth Smith | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-01 |
| 1427675925 | Christa Marie Stoutenborough | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-06-30 |
| 1992322739 | Alexia Lambos Georges | Perfusionist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-06-27 |
| 1912522210 | Meaghan Elizabeth Lecture | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
| 1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
| 1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
| 1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
| 1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
| 1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
| Find all providers in zip 63106 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| 1154862225 | Kelly Ann Esposito | Nurse Practitioner | 1040 N Mason Rd Ste 115, Saint Louis, MO 63141-6361 | 2017-03-09 |
| 1891161873 | Kay-ann Lawrence-merchant | Nurse Practitioner | 5229 Nottingham Estates Dr, Saint Louis, MO 63129-1548 | 2015-08-13 |
| 1568062669 | Uche Olateru | Nurse Practitioner | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118-3907 | 2020-10-28 |
| 1952928665 | Rebecca Goodwillie | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-06-29 |
| 1295364594 | Gina Lisette Gardner | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-04-07 |
| 1609411784 | Ashley Titchenal | Nurse Practitioner | 11155 Dunn Rd Ste 304e, Saint Louis, MO 63136-6111 | 2019-11-12 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1952952905 | Dedra M Echols | Nurse Practitioner | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2019-09-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63106 |
Please comment or provide details below to improve the information on MRS. PATRICIA FLYNN 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.