Individual provider Active NPI

Mackenzie Howard, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1336795756
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1814 Issued in HI
Practice address
1129 1St Ave
Honolulu, HI 96816-5801
Phone
(757) 969-3919
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14255974 HI
Speech-Language Pathologist 235Z00000X SP-1814 HI Primary

Addresses

Primary practice location

1129 1St Ave
Honolulu, HI 96816-5801

Mailing address

1129 1St Ave
Honolulu, HI 96816-5801
Phone (757) 969-3919

Other practice location 1

475 22nd Ave Rm 101
Honolulu, HI 96816-4400
Phone (808) 305-9750

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14255974HIMDSpeech-Language Pathologist
SP-1814HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mackenzie Howard LLC Speech-Language Pathologist CurrentSince May 1, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1336795756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 1ST AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165801",
            "telephone_number": "757-969-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 1ST AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165801",
            "telephone_number": "757-969-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 22nd Ave Rm 101",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968164400",
            "country_code": "US",
            "telephone_number": "808-305-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MACKENZIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "14255974",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.