Active NPI
Regina Lynn Mackenzie, LPN
- Licensed Practical Nurse
- Poughkeepsie, NY
National Provider Identifier
1457558876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 267539
- Practice address
- 26 Regency Dr
Poughkeepsie, NY 12603-1154 - Phone
- (845) 485-1306
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 267539 | NY | Primary |
Addresses
Primary practice location
26 Regency Dr
Poughkeepsie, NY 12603-1154
Mailing address
PO Box 569
Pleasant Valley, NY 12569-0569
Phone (845) 723-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02556449 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267539 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1457558876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 569",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125690569",
"telephone_number": "845-723-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 REGENCY DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126031154",
"telephone_number": "845-485-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKENZIE",
"first_name": "REGINA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "267539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02556449",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.