Tonya Renell McKenzie, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN 1625 Issued in SC

Practice address

204 University Blvd
Conway, SC 29526-8834

Phone

(843) 349-6543

Fax

(843) 349-6546

NPI assigned

Sep 27, 2007

Last updated

Jul 25, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ms_tmcken20@landmarkhealth-direct.org

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1417144072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 UNIVERSITY BLVD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268834",
            "telephone_number": "843-349-6543",
            "fax_number": "843-349-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 UNIVERSITY BLVD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268834",
            "telephone_number": "843-349-6543",
            "fax_number": "843-349-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "TONYA",
        "middle_name": "RENELL",
        "name_prefix": "Miss",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda J McFee, MS, LPCA
• Kathleen B McGrogan, LPC
• Karen Susanne McHargue Smith, MA, RD, LD
• Cheri Lyn McIlwain, CCC-SLP
• Winston McIver Jr., MD
• Robin M McLean-Rimkus, FNP-C
• Susan Ann McLean, LPC, NCC, CCH
• Joan N McMahon, LCMHC
• Nancy Cook McMillan
• Me Pivot Holdings LLC (Miracle Ear)

• Family Nurse Practitioner in Conway, SC
• Providers in Conway, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.