McKinzie Shae McPherson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.13618 Issued in OH

Practice address

2000 W Stanfield Rd
Troy, OH 45373-2572

Phone

(937) 339-5100

NPI assigned

Aug 14, 2019

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

• McKinzie Shae Jacobs-Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1114573292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732572",
            "telephone_number": "937-339-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732572",
            "telephone_number": "937-339-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "MCKINZIE",
        "middle_name": "SHAE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKINZIE",
            "last_name": "JACOBS-JOHNSON",
            "middle_name": "SHAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bertha C. McKechnie, RN, CNP
• Megan R McKee
• Theresa McKinney
• Brittany McMahon
• Faye Venkler McNerney, PT
• Anita Darnell McSherry, LPN
• Shelby Lea Meadows
• Meijer Stores Limited Partnership
• Allison Mendenhall, PA-C
• Katie Mengos, PHARMD, RPH

• Speech-Language Pathologist in Troy, OH
• Providers in Troy, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.