Renatto Dieago McKenzie, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

069566-21 Issued in NH

Practice address

718 Smyth Rd
Manchester, NH 03104-7007

Phone

(603) 624-4366

NPI assigned

Oct 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1063292233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BLUEBERRY LN",
            "city": "LYNDEBOROUGH",
            "state": "NH",
            "postal_code": "030825617",
            "telephone_number": "603-438-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Blueberry Ln",
            "address_purpose": "LOCATION",
            "city": "Lyndeborough",
            "state": "NH",
            "postal_code": "030825617",
            "country_code": "US",
            "telephone_number": "603-296-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "RENATTO",
        "middle_name": "DIEAGO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2297979",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NH",
            "license": "069566-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McKee IV, DO
• Veronica Stephanie McKee, RN,BSN,CDE
• James McKenna Jr., CRNA
• Lisa McKenna
• Kyndra McKenzie, RDN, LDN
• Kristina Mae McKeon, PHARMD
• Susan M McKeown, ARNP
• Kendra McKible, PA
• Sharon McKinley, RN
• Kristine Marie McLane, CPHT

• General Practice Registered Nurse in Manchester, NH
• Providers in Manchester, NH by specialty
• General Practice Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.