Kathleen McKenzie

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2101002152 Issued in VA

Practice address

6372 Mechanicsville Tpke Ste 105
Mechanicsville, VA 23111-4705

Phone

(804) 559-4625

Fax

(804) 559-4627

NPI assigned

Jun 1, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093243206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE STE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-559-4625",
            "fax_number": "804-559-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE STE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-559-4625",
            "fax_number": "804-559-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W Hundred Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238311760",
            "country_code": "US",
            "telephone_number": "804-739-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2101002152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi McDonough, FNP-C
• Terri McDowell, LOT
• Billie Deronda McElwrath, D.C.
• Neil Kennedy McGroarty, MD
• Dana McGuirt, LPT
• Jenelle Lynette McLeod
• Mary Taylor McNeer, MD
• Chase S McPherson
• Jessica Marie McQuaid, PT, DPT
• Christina Padilla McWhorter, M.D.

• Hearing Instrument Specialist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Hearing Instrument Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.