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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
1-060405ALMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Successful Living Center, Inc. Current
since Sep 24, 2023
Accepting new patients

Locations

1902 Bullard St
Montgomery, AL 36106
Phone (334) 264-1790

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2026.

{
    "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

All providers in Montgomery, AL · Home Health Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.