Mackenzie Lee Cullifer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

411 Central Methodist SQ
Fayette, MO 65248-1104

Phone

(660) 833-7515

NPI assigned

Nov 2, 2017

Last updated

Nov 2, 2017By 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

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1205348042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOODLAND TRAIL DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652704516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CENTRAL METHODIST SQ",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481104",
            "telephone_number": "660-833-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLIFER",
        "first_name": "MACKENZIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Health Care Solutions, Inc. (The Braun Home)
• Tony D Cook, APRN
• Cooper County Memorial Hospital (CCMH Family Health Clinic)
• Abby Crede, MD
• Crossroads Counseling
• Curators of the University of Missouri (University Physicians Specialty Care Associates)
• Curators of the University of Missouri (University Physicans)
• Bray Dempsey
• Alanna Dennison, MED, LAT, ATC
• Lara Doescher

• Student in an Organized Health Care Education/Training Program in Fayette, MO
• Providers in Fayette, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.