Kristi Anne McKenzie-Coody, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9390006 Issued in FL

Practice address

744 E Rhode Island Ave Ste B
Orange City, FL 32763-6609

Phone

(386) 804-3626

Fax

(386) 804-3626

NPI assigned

Sep 26, 2017

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

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1437668068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740429",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327740429",
            "telephone_number": "386-804-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E RHODE ISLAND AVE STE B",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636609",
            "telephone_number": "386-804-3626",
            "fax_number": "386-804-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE-COODY",
        "first_name": "KRISTI",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9390006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L McCutchan, ARNP
• Andrea A McIntosh, PA
• Benjamin S McKendall, MD
• Michael John McKenna Jr., AU.D.
• Thomas McKenna
• Viva T McKenzie, M.S., CCC-SLP
• William Edward McLay, DPM
• Azwana McNair
• Suenae McQuay
• Jennifer Mead

• Family Nurse Practitioner in Orange City, FL
• Providers in Orange City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.