Active NPI
Tamira McKenzie, MSN,RN, FNP-C
- Family Nurse Practitioner
- League City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP133722
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736759 | TX | MD | Registered Nurse |
| AP133722 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Practice, L.L.P | Current | Accepting new patients | |
| Villagemd of Southeast Texas, PA | Current | 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
- tamira.mckenzie.1@13711.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1841643327
-
- Family Medicine Physician
- Houston, TX
- NPI 1083619191
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.