Gillian Shannon McKenzie, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HL60783437 Issued in WA

Practice address

2592 Kwina Rd
Bellingham, WA 98226-9278

Phone

(360) 312-2489

Fax

(360) 384-2336

NPI assigned

Feb 26, 2019

Last updated

Feb 26, 2019By the provider in NPPES

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

Other names 1

• Gillian Shannon Severson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1386101350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-312-2489",
            "fax_number": "360-384-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-312-2489",
            "fax_number": "360-384-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "GILLIAN",
        "middle_name": "SHANNON",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "HL60783437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "HL60783737",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILLIAN",
            "last_name": "SEVERSON",
            "middle_name": "SHANNON",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly M McInerney, ARNP
• Emily Elizabeth McKay, DPT
• Sean C McKee, LICSW, MSW
• Taryn McKee, LMT
• Amy Louise McKenney, LMHC
• David S. McKinney, M.D.
• Emma McLain
• Andrea L McLaughlin, M. ED.
• Patrick O McLaughlin, MD
• Sadie Anne McLaughlin

• Dental Hygienist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.