Marian H McKenzie, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R18676 Issued in NM

Practice address

1808 E Aztec
#6
Gallup, NM 87301

Phone

(505) 863-9374

Fax

(505) 722-7400

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• David McKenzie MD PC

  • Family Medicine Physician
  • Gallup, NM
  • NPI 1316135510
  NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346392610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 E AZTEC",
            "address_2": "#6",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9374",
            "fax_number": "505-722-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 E AZTEC",
            "address_2": "#6",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9374",
            "fax_number": "505-722-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MARIAN",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "R18676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11858",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Nichole Smith McGraw, O.D.
• Matthew David McGraw, OD
• Jane Gertrude McIntyre, RN
• Forde McIver III
• David C McKenzie, MD
• McKinley Counseling Center
• McKinley County
• McKinley Medical Supply, Inc
• Chante Alise McKinley
• Jane Eileen McNamee, RN

• Women's Health Nurse Practitioner in Gallup, NM
• Providers in Gallup, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.