Katherine Ann Mackenzie, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004123 Issued in NY

Practice address

451 Glen St
Glens Falls, NY 12801-2905

Phone

(518) 409-6993

Fax

(518) 615-1251

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Acupuncture Nirvana

  • Acupuncturist
  • Glens Falls, NY
  • NPI 1699232660
  NPD (past) Authorized official

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1093027864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012905",
            "telephone_number": "518-409-6993",
            "fax_number": "518-615-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012905",
            "telephone_number": "518-409-6993",
            "fax_number": "518-615-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 Cornelia Street",
            "address_2": "Lower Level",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113854729",
            "country_code": "US",
            "telephone_number": "347-421-3405",
            "fax_number": "718-821-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denis N Lusignan, M.D.
• Joanne Lydon, RN
• Shannon Cain Lynch, LCSW
• Michelle Mabie
• Diane Marie Macdonnell, M.D.
• Chad Derrick Macnaughton, DC, FNP
• Raymond A Maddocks, MD
• Rebecca Barber Mahar, RD, CDN, CDE
• Harry Wallace Mahood Jr., MD
• Jaime Lynne Malek, FNP-C

• Acupuncturist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.