Celista McKenzie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19773 Issued in SC

Practice address

2147 Hoffmeyer Rd
Suite a
Florence, SC 29501-4015

Phone

(843) 662-8000

Fax

(843) 664-0994

NPI assigned

Oct 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Chiromed, Inc.Group PAC ID 0446415343, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• L&M Holistic Healthcare Services

  • Primary Care Clinic/Center
  • Florence, SC
  • NPI 1356088710
  Medicare reassignment NPD Authorized official
• Palmetto Chiromed, Inc.

  • Chiropractor
  • Florence, SC
  • NPI 1518238203
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment NPD
• Southern Living Emergency Physicians LLC

  • Emergency Medicine Physician
  • Loris, SC
  • NPI 1528314325
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1053782458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 HOFFMEYER RD",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014015",
            "telephone_number": "843-662-8000",
            "fax_number": "843-664-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 HOFFMEYER RD",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014015",
            "telephone_number": "843-662-8000",
            "fax_number": "843-664-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CELISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard McIntosh
• Lyle Nelson McKain Jr., DMD
• Claire McKay
• Lelia Denise McKay, MS LPC
• Shawn P McKay, MD
• Charles Phillip McKenzie, PHARMD
• Lesia B McKenzie, APRN
• Phylicia McKenzie
• Sidney Allen McKenzie, CRNA
• Tara McKenzie, MSP

• Family Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.

Verify at the official NPI Registry.