Individual provider Active NPI

Tamira McKenzie, MSN,RN, FNP-C

  • Family Nurse Practitioner
  • League City, TX
National Provider Identifier
1033644356
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133722 Issued in TX
Practice address
2517 Winged Dove Dr
League City, TX 77573-3231
Phone
(713) 494-3267
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 736759 TX
Family Nurse Practitioner 363LF0000X AP133722 TX Primary

Addresses

Primary practice location

2517 Winged Dove Dr
League City, TX 77573-3231

Mailing address

2517 Winged Dove Dr
League City, TX 77573-3231
Phone (713) 494-3267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531002315 TX Practitioner - Nurse Practitioner 9638434202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
736759TXMDRegistered Nurse
AP133722TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Aug 1, 2018 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Aug 1, 2018 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

Interoperability endpoints

  • Direct secure messaging: tamira.mckenzie.1@13711.direct.athenahealth.com
  • Direct secure messaging: tamira.mckenzie@hca7.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1033644356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 WINGED DOVE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733231",
            "telephone_number": "713-494-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 WINGED DOVE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733231",
            "telephone_number": "713-494-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "TAMIRA",
        "name_prefix": "Mrs.",
        "credential": "MSN,RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "736759",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.