McKenzie Jean Woolstenhulme, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13677 W McDowell Rd
Goodyear, AZ 85395-2635

Phone

(435) 659-6014

NPI assigned

Sep 8, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1144777947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 N 79TH AVE",
            "address_2": "APARTMENT 3109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088343",
            "telephone_number": "435-659-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13677 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952635",
            "telephone_number": "435-659-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSTENHULME",
        "first_name": "MCKENZIE",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Wolter, DMD, MS
• Erika Lynn Womack, PHARMD
• Benjamin Kevin Woodruff, PHARM D
• Keith Dell Woodside
• Cory Gene Wooff, DMD
• Tishuna Words, PMHNP
• Kenneth E Worthy II
• Wound Solutions LLC
• Courtney Dawn Wright, OTR/L
• Herbert D Wright, DPM DC

• Physician Assistant in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.