Individual provider Active NPI

Mackenzie Jaenicke

  • Registered Nurse
  • San Francisco, CA
National Provider Identifier
1467361881
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN273519 Issued in SC
Practice address
1390 Market St Ste 200
San Francisco, CA 94102-5404
Phone
(877) 627-0369
NPI assigned
Sep 2, 2026
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN273519 SC Primary

Addresses

Primary practice location

1390 Market St Ste 200
San Francisco, CA 94102-5404

Mailing address

1390 Market St Ste 200
San Francisco, CA 94102-5404
Phone (877) 627-0369

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1467361881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025404",
            "telephone_number": "877-627-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025404",
            "telephone_number": "877-627-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAENICKE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "RN273519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.