Elizabeth Jean McKenzie, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

212175 Issued in LA

Practice address

121 Shady Crest Ave
Deville, LA 71328-4000

Phone

(318) 794-5552

NPI assigned

Aug 3, 2020

Last updated

Aug 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: elizabeth.mckenzie.2@22920.direct.athenahealth.com

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1164032462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SHADY CREST AVE",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713284000",
            "telephone_number": "318-794-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHADY CREST AVE",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713284000",
            "telephone_number": "318-794-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "212175",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "LA",
            "license": "RN144652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue May Liu, M.D.
• Amanda Louise Lluvera
• Everett Clifton Lofton, BSN,RN,CRNI
• Edmon Liston Mapp Jr., CRNA
• Mary McCormick
• Stacey McPherson
• Lacie Nugent, DPT
• Erin Franks Owens, MOT, LOTR
• Allison Smith Pospisil, CPNP-PC
• Jared Wiggins

• Pediatric Nurse Practitioner in Deville, LA
• Providers in Deville, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.