Active NPI
Janie McKenzie
- Community Health Registered Nurse
- Hartsville, SC
National Provider Identifier
1104242973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN.66810
- Practice address
- 130 E Camden Ave
Hartsville, SC 29550-5726 - Phone
- (843) 332-7303
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN.66810 | SC | Primary |
Addresses
Primary practice location
130 E Camden Ave
Hartsville, SC 29550-5726
Mailing address
130 E Camden Ave
Hartsville, SC 29550-5726
Phone (843) 332-7303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.66810 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1104242973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E CAMDEN AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505726",
"telephone_number": "843-332-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E CAMDEN AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505726",
"telephone_number": "843-332-7303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "JANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "RN.66810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.