Individual provider Active NPI

McKenzie Frances Ellingham, DC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1346705282
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
127361 Issued in AK
Practice address
3149 Ambergate Dr
Anchorage, AK 99504-3865
Phone
(585) 766-8919
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 127361 AK Primary

Addresses

Primary practice location

3149 Ambergate Dr
Anchorage, AK 99504-3865

Mailing address

3149 Ambergate Dr
Anchorage, AK 99504-3865
Phone (585) 766-8919

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

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1346705282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 AMBERGATE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043865",
            "telephone_number": "585-766-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 AMBERGATE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043865",
            "telephone_number": "585-766-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGHAM",
        "first_name": "MCKENZIE",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "127361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.