KRISTA MARIE MCKENZIE (NPI# 1902119662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902119662 |
| Entity Type | Individual |
| Full Name | KRISTA MARIE MCKENZIE |
| Credential | PA-C |
| Practice Address |
1111 Franklin St Suite 220 Johnstown PA 15905-4330 |
| Mailing Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Practice Telephone | 8145343850 |
| Practice Fax Number | 8145343392 |
| Mailing Telephone | 8144108300 |
| Mailing Fax Number | 8144108331 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054430 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770710147 | Krista Justine Mckenzie | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2009-06-12 |
| Street Address |
1111 FRANKLIN ST SUITE 220 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152188 | Conemaugh Health Initiatives | Internal Medicine | 1111 Franklin St, Ste 220, Johnstown, PA 15905-4330 | 2005-05-25 |
| 1851832869 | Carmen Mae Ayers | Nurse Practitioner | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2017-03-10 |
| 1639613003 | Jessica Hernandez | Nurse Practitioner | 1111 Franklin St, Suite 130, Johnstown, PA 15905-4330 | 2016-12-05 |
| 1528474541 | Jill Brant | Nurse Practitioner | 1111 Franklin St, Suite 300, Johnstown, PA 15905-4330 | 2014-07-10 |
| 1851685275 | Erin Young | Physician Assistant | 1111 Franklin St, Johnstown, PA 15905-4330 | 2011-06-02 |
| 1871897876 | Conemaugh Health Initiatives | Obstetrics & Gynecology | 1111 Franklin St, Suite 230, Johnstown, PA 15905-4330 | 2011-01-05 |
| 1063715936 | Jamie Roberts Collins | Physician Assistant | 1111 Franklin St, Suite 210, Johnstown, PA 15905-4330 | 2010-12-14 |
| 1396066288 | Douglas Christopher Barnas | Obstetrics & Gynecology | 1111 Franklin St, Ste 300, Johnstown, PA 15905-4330 | 2010-06-15 |
| 1396062378 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2010-04-29 |
| 1023346509 | Conemaugh Health Initiatives | Urology | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752470 | Brooke Lynn Rhoades | Physician Assistant | 322 Warren St Ste 300, Johnstown, PA 15905-3443 | 2018-06-06 |
| 1114467677 | Erika George | Physician Assistant | 516 Indiana St, Johnstown, PA 15905-2315 | 2017-03-03 |
| 1538290614 | Colleen Shaw | Physician Assistant | 400 N Perry St, Johnstown, NY 12095-1115 | 2007-03-08 |
| 1043316870 | Thomas J Destefano | Physician Assistant | 429 Industrial Park Dr, Pbg Health and Wellness Center, Johnstown, PA 15904 | 2006-09-16 |
| 1538190996 | Meghan Bolinger | Physician Assistant | 598 Galleria Dr, Johnstown, PA 15904-8900 | 2006-07-05 |
| 1639167604 | Francis Buddy Legath | Physician Assistant | 1118 Club Dr, Johnstown, PA 15905-1914 | 2005-10-12 |
| 1568063733 | Kathryn Joanne Zohoranacky | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2020-11-04 |
| 1487134938 | Tayler Orion Sechrengost | Physician Assistant | 348 Budfield St, Johnstown, PA 15904-3214 | 2018-08-15 |
| 1649764853 | Angela Marie Beahr | Physician Assistant | 374 Theatre Dr, Johnstown, PA 15904 | 2018-06-20 |
| 1619460722 | Jeremy M. Sotosky | Physician Assistant | 350 Budfield St, Johnstown, PA 15904-3214 | 2018-06-13 |
| Find all providers in JOHNSTOWN | ||||
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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.