Mackenzie Kigin, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0062958 Issued in CO

Practice address

8990 Washington St
Thornton, CO 80229-4537

Phone

(720) 929-1655

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkigin300940@direct.mmc.mainehealth.org
• Direct secure messaging: mackenzie.kigin.p4@direct.clinicafamilyhealth.nextgenshare.com

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

• Clinica Campesina Family Health Services

  • Clinic/Center
  • Lafayette, CO
  • NPI 1225025406
  Medicare reassignment NPD
• Clinica Campesina Family Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1558108498
  NPD
• Clinica Campesina Family Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1558109223
  NPD
• Clinica Campesina Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Thornton, CO
  • NPI 1093702177
  NPD (past)
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Louisville, CO
  • NPI 1891709192
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1457700908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294537",
            "telephone_number": "720-929-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294537",
            "telephone_number": "720-929-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SE Tiffany Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527521",
            "country_code": "US",
            "telephone_number": "772-398-1990",
            "fax_number": "772-398-1925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 SE Tiffany Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527521",
            "country_code": "US",
            "telephone_number": "772-398-1990",
            "fax_number": "772-398-1925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8877 SE 165th Mulberry Ln",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "32162",
            "country_code": "US",
            "telephone_number": "352-674-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Main St",
            "address_purpose": "LOCATION",
            "city": "Livermore Falls",
            "state": "ME",
            "postal_code": "042541219",
            "country_code": "US",
            "telephone_number": "207-897-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIGIN",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15945",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "LT20050",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0062958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryem Kianinejad, NP
• Ghennet Kidane, PHARMACIST
• Kids & Family Dentistry & Orthodontics
• Kids First Health Care
• Kids Mile High Thornton PLLC
• Ronald L Kilgore
• Bryan Douglas Killam, PHARMD
• Amy B Killingsworth, LCSW
• Cindy Kim
• Kaeun Julia Kim, DDS

• Family Medicine Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.