Nicole McKenzie, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342500 Issued in NY

Practice address

47 Archer Rd
Mahopac, NY 10541-1907

Phone

(845) 282-0034

NPI assigned

May 19, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1184115743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ARCHER RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411907",
            "telephone_number": "845-282-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ARCHER RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411907",
            "telephone_number": "845-282-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean McGowan
• Cathleeen A McGregor
• Eileen Patricia McHugh, RN
• Page Sophia McIntyre
• Caitlin Ann McKenna, RN
• Marianne T Meenan, REGISTERED NURSE
• Jessica Mercadante, COTA
• Aileen Aratan Mercader, PT
• Cleevon C Mercurius
• Kenneth Meury, ATC

• Family Nurse Practitioner in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.