Mackenzie Taylor Sipes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

163353 Issued in OH

Practice address

1672 Park Ave E
Mansfield, OH 44905-2916

Phone

(419) 632-4670

NPI assigned

Apr 23, 2019

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

Other identifiers 1

Electronic endpoints 1

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1427612696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 PARK AVE E",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052916",
            "telephone_number": "419-632-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 PARK AVE E",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052916",
            "telephone_number": "419-632-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPES",
        "first_name": "MACKENZIE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "163353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163353",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "g.mackenzie96@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Professional usage",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1672 Park Ave E",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449052916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Singer, M.D.
• Sandeep Singla, MD
• Angel Singleton
• Keon Singleton
• Sonal Sinha, M.D.
• Cassidy Sirosky
• Michal Sittek
• Jamie Skaggs, CNP
• Kayla Beverly Skaggs
• Jonathan M Skarie, M.D., PH.D.

• Licensed Practical Nurse in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.