Individual provider Active NPI

McKenzie Lambiotte, PA

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1073226023
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1934 11TH Ave - Marshall Dermatology
Huntington, WV 25701-3722
Phone
(304) 691-1930
Fax
(304) 691-1973
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1934 11TH Ave - Marshall Dermatology
Huntington, WV 25701-3722

Mailing address

1934 11TH Ave
Huntington, WV 25701-3722
Phone (304) 691-1930

Other practice location 1

300 Corporate Center Drive
Scott Depot, WV 25560
Phone (304) 691-6800

Other practice location 2

1305 Elm St E Lowr
Huntington, WV 25701-3861
Phone (304) 691-6718

Other practice location 3

2506 1st Ave
Huntington, WV 25703-1220
Phone (304) 840-2522

Other practice location 4

1400 Hal Greer Blvd Fl 2
Huntington, WV 25701-4114
Phone (304) 691-6718

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mckenzie.lambiotte@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240920000684 WV Practitioner - Physician Assistant 2062953888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Huntington, WV 25701-3655

1934 11TH Ave
Huntington, WV 25701-3722
Phone (304) 529-0900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2866WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

1400 Hal Greer Blvd
Fl 2
Huntington, WV 25701
Phone (304) 691-1930

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1934 11th Ave
Huntington, WV 25701
Phone (304) 529-0900

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1305 Elm St E
Lowr
Huntington, WV 25701
Phone (304) 691-6718

Interoperability endpoints

  • Direct secure messaging: mckenzie.lambiotte@marshall.cernerdirect.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1073226023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 11TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013722",
            "telephone_number": "304-691-1930",
            "fax_number": "304-691-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 11TH AVE - MARSHALL DERMATOLOGY",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013722",
            "telephone_number": "304-691-1930",
            "fax_number": "304-691-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Corporate Center Drive",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "25560",
            "country_code": "US",
            "telephone_number": "304-691-6800",
            "fax_number": "304-691-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Elm St E Lowr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013861",
            "country_code": "US",
            "telephone_number": "304-691-6718",
            "fax_number": "304-691-6717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2506 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031220",
            "country_code": "US",
            "telephone_number": "304-840-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Hal Greer Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257014114",
            "country_code": "US",
            "telephone_number": "304-691-6718",
            "fax_number": "304-691-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBIOTTE",
        "first_name": "MCKENZIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mckenzie.lambiotte@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1934 11th Ave",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.