Renee Mackenzie, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501011738 Issued in MI

Practice address

7575 Prospect Ave
Warren, MI 48091-2918

Phone

(850) 217-8090

NPI assigned

Sep 16, 2020

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 names 1

• Renee Denise Japenga Former name

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1093321945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 PROSPECT AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912918",
            "telephone_number": "850-217-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 PROSPECT AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912918",
            "telephone_number": "850-217-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "JAPENGA",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jevron Manasan Macalino Jr.
• Daniel H Macek, MD
• Wendy Anne Machuta, NURSE PRACTITIONER
• Kameron Maciver, DPT
• Armoni Mack
• Jon Whitman Mackey, D.O.
• Taneisha Mackey, PMHNP-BC
• Benjamin Scott Mackie
• Rebecca Macneil
• Macomb Children'S Healthcare Access Program

• Massage Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.