Hannah McKenzie

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00265 Issued in MS

Practice address

212 N Spence Ave
Goldsboro, NC 27534-4318

Phone

(919) 778-0851

NPI assigned

Feb 4, 2016

Last updated

Jan 13, 2020By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1427416502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SQUIER AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275345458",
            "telephone_number": "859-553-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344318",
            "telephone_number": "919-778-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal J McDaniel, CSFA
• Monica Anne McGill, M.D.
• Courtney Christine McGowan, PHARMD
• Jennifer Lynn McIver, OTD, OTR/L
• William David McKelvey, PHARMD
• Shaquithia Monique McKinney, MSN, PMHNP-BC
• Andrew McKnight, PA-C
• Tara McLamb, N.P.
• Lauraysha Leigh McMillan Ajiboye, FNP-BC
• Kenneth James McNeese, RRT

• Medical Physician Assistant in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.