Veronica McKenzie, RN
Individual provider Active NPI Home Health Registered Nurse · Montgomery, AL
NPI 1275312969 · NPPES record last updated Sep 13, 2026
Key facts
- NPI
- 1275312969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 1-060405 (AL)
- Practice address
- 1902 Bullard St
Montgomery, AL 36106-1716 - Phone
- (334) 318-2968
- NPI assigned
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-060405 | AL | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Successful Living Center, Inc. | Current |
Accepting new patients |
Locations
1902 Bullard St
Montgomery, AL 36106
Phone (334) 264-1790
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 1-060405 | AL | |
| Ostomy Care Registered Nurse | 163WX1500X | 1-060405 | AL | |
| Home Health Registered Nurse | 163WH0200X | 1-060405 | AL | Yes |
Addresses
Primary practice location
1902 Bullard St
Montgomery, AL 36106-1716
Mailing address
40 Front Lake Dr
Pike Road, AL 36064-3707
Phone (334) 318-2968
NPI Registry JSON
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1275312969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FRONT LAKE DR",
"city": "PIKE ROAD",
"state": "AL",
"postal_code": "360643707",
"telephone_number": "334-318-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 BULLARD ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061716",
"telephone_number": "334-318-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "VERONICA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-22",
"last_updated": "2026-09-13",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "AL",
"license": "1-060405",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "AL",
"license": "1-060405",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AL",
"license": "1-060405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Julian Edward McIntyre
- Patrick R McIntyre
- Agnes Kathleen McKeen
- Amber Alexandria McKenzie
- Katelyn Roe McKenzie
- Rebecca Carli McKinley
- Gabrielle Mariana McKinney
- Keyana Marie McKinney
- Porscha Danielle McKinnie
- Vincent McKitt
All providers in Montgomery, AL · Home Health Registered Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.