Organization Active NPI

Kenzi Medspa and Wellness Center

  • Adult Medicine Physician
  • Naples, FL
National Provider Identifier
1306314216
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
KENZI MEDSPA AND WELLNESS CENTER
Doing business as
McKenzie Health and Rejuvenation Spa
Practice address
900 6TH Ave S
Naples, FL 34102-6745
Phone
(239) 529-2864
Fax
(800) 877-6470
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Dr. Aldene McKenzie, DONPI 1598105231
Title
Medical Director
Phone
(239) 529-2864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

900 6TH Ave S
Naples, FL 34102-6745

Mailing address

900 6TH Ave S
Naples, FL 34102-6745
Phone (239) 529-2864

Other identifiers 1

IdentifierTypeStateIssuer
019051100MedicaidFL

Other names 1

  • McKenzie Health and Rejuvenation Spa Doing business as

National Provider Directory

National Provider Directory

Locations

5491 N University Dr
Ste 202B
Coral Springs, FL 33067

900 6th Ave S
Ste 303
Naples, FL 34102
Phone (239) 544-5369

900 6th Ave S
Naples, FL 34102
Phone (239) 529-2864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1306314216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 6TH AVE S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026745",
            "telephone_number": "239-529-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 6TH AVE S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026745",
            "telephone_number": "239-529-2864",
            "fax_number": "800-877-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENZI MEDSPA AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "ALDENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-529-2864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019051100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie Health and Rejuvenation Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.