Colleen Mackenzie, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

771 Millbridge Apts
Clementon, NJ 08021-5556

Phone

(856) 286-4341

Fax

(856) 821-4250

NPI assigned

Dec 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1346661816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 MILLBRIDGE APTS",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080215556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 MILLBRIDGE APTS",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080215556",
            "telephone_number": "856-286-4341",
            "fax_number": "856-821-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "COLLEEN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lozada-Kirlew, LPC
• Phyllis Anne Luciani, R.PH.
• Taylor Lunemann
• Nicole Macapagal
• Kadie Macdonald, LPC
• Ruth S Mackenzie, MSN APN PMHNP-BC
• Deborah Fay Malik, LCSW
• Jeanmarie Maresh
• James Vincent Marmo, DMD
• Kari Mastromonica

• Athletic Trainer in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.