Individual provider Active NPI

Mackenzie Mize Usher

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1093331001
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
271678 Issued in KY
Practice address
3108 Majestic View Walk
Lexington, KY 40511-8882
Phone
(859) 687-5855
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 271678 KY Primary

Addresses

Primary practice location

3108 Majestic View Walk
Lexington, KY 40511-8882

Mailing address

3108 Majestic View Walk
Lexington, KY 40511-8882

Other practice location 1

401 Lewis Hargett Cir Ste 120
Lexington, KY 40503-3564
Phone (859) 475-4305

Other practice location 2

290 Alumni Dr
Lexington, KY 40503-1601
Phone (859) 218-2322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address macy.mize@uky.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122002757 KY Practitioner - Qualified Speech Language Pathologist 7113316654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
271678KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Dec 1, 2021 Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

290 Alumni Dr
Lexington, KY 40503
Phone (859) 218-2322

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1093331001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 MAJESTIC VIEW WALK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 MAJESTIC VIEW WALK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118882",
            "telephone_number": "859-687-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Lewis Hargett Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405033564",
            "country_code": "US",
            "telephone_number": "859-475-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Alumni Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031601",
            "country_code": "US",
            "telephone_number": "859-218-2322",
            "fax_number": "859-257-0284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "USHER",
        "first_name": "MACKENZIE",
        "middle_name": "MIZE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "271678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "macy.mize@uky.edu",
            "affiliation": "N",
            "address_1": "401 Lewis Hargett Cir Ste 120",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405033564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.