Dianne Sharon McKenzie, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L4031 Issued in TX

Practice address

805 S Clay St
Ennis, TX 75119-5750

Phone

(972) 875-8300

Fax

(972) 875-8312

NPI assigned

Dec 1, 2005

Last updated

Dec 8, 2025By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmckenzie238487@cookchildrens.direct-ci.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1750369203
  Medicare reassignment NPD
• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1083472062
  NPD
• Amarillo Area Healthcare Specialist

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1811024474
  NPD (past)
• Children's Healthcare Associates, LLP

  • Pediatrics Physician
  • Amarillo, TX
  • NPI 1831226430
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1457335671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S CLAY ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195750",
            "telephone_number": "972-875-8300",
            "fax_number": "972-875-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "DIANNE",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmckenzie238487@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "805 S Clay St",
            "city": "Ennis",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751195750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Carol Mach, OTA
• Jesus Marcial, DC
• Mallory L Martin, PTA
• Ariana Estela Martinez
• Natasha Mazaheri, D.C.
• Tanya Yvonne McNamee, LVN
• Med Southwest, PLLC
• Medical and Surgical Associates of Corsicana
• Arley Medrano, DDS, MS
• Meg Sullivan, M.D., PA

• Pediatrics Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.