Individual provider Active NPI

McKenzie D Wardwell, FNP-C

  • Family Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1326620246
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25838 Issued in SC
Practice address
1037 Chuck Dawley Blvd Ste D100
Mount Pleasant, SC 29464-4149
Phone
(843) 962-2999
Fax
(843) 790-1949
NPI assigned
Apr 21, 2021
Last updated
Sep 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347600 NY
Family Nurse Practitioner 363LF0000X 25838 SC Primary
Family Nurse Practitioner 363LF0000X APRN11019386 FL

Addresses

Primary practice location

1037 Chuck Dawley Blvd Ste D100
Mount Pleasant, SC 29464-4149

Mailing address

1707 Cultivation LN
Mount Pleasant, SC 29466-9536
Phone (843) 962-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
347600NYMDFamily Nurse Practitioner
25838SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1326620246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CULTIVATION LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669536",
            "telephone_number": "843-962-2999",
            "fax_number": "843-790-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CHUCK DAWLEY BLVD STE D100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644149",
            "telephone_number": "843-962-2999",
            "fax_number": "843-790-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDWELL",
        "first_name": "MCKENZIE",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25838",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.