Organization Active NPI

Lezlie L McKenzie MSN Aprn BC PLLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Missoula, MT
National Provider Identifier
1235309238
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
LEZLIE L MCKENZIE MSN APRN BC PLLC
Practice address
715A Skyla CT
Missoula, MT 59801
Phone
(406) 543-2883
Fax
(406) 543-2734
NPI assigned
Mar 5, 2008
Last updated
Apr 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Lezlie Lorraine McKenzie, PMHCNSNPI 1205843869
Title
Sole Proprietorship
Phone
(406) 543-2883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X NU Primary

Addresses

Primary practice location

715A Skyla CT
Missoula, MT 59801

Mailing address

715A Skyla CT
Missoula, MT 59801-1480
Phone (406) 543-2883

National Provider Directory

National Provider Directory

Locations

126 E Broadway St
Ste 8
Missoula, MT 59802
Phone (406) 396-3500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1235309238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715A SKYLA CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011480",
            "telephone_number": "406-543-2883",
            "fax_number": "406-543-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A SKYLA CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-543-2883",
            "fax_number": "406-543-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEZLIE L MCKENZIE MSN APRN BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "LEZLIE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "SOLE PROPRIETORSHIP",
        "authorized_official_telephone_number": "406-543-2883",
        "authorized_official_credential": "PMHCNS"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.