Active NPI
Mackenzie Rene Rice, ATC, OPE-C
- Athletic Trainer
- Parkersburg, WV
National Provider Identifier
1508334152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001613
- Practice address
- 2101 Dudley Ave
Parkersburg, WV 26101-3462 - Phone
- (304) 488-3610
- NPI assigned
- Nov 12, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001613 | WV | Primary |
Addresses
Primary practice location
2101 Dudley Ave
Parkersburg, WV 26101-3462
Mailing address
741 Campbell Dr
Belpre, OH 45714-1217
Phone (304) 488-3610
Other practice location 1
2804 Birch St
Parkersburg, WV 26101-1910
Phone (304) 424-2348
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 |
|---|---|---|---|
| AT001613 | WV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1508334152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 CAMPBELL DR",
"city": "BELPRE",
"state": "OH",
"postal_code": "457141217",
"telephone_number": "304-488-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 DUDLEY AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013462",
"telephone_number": "304-488-3610"
}
],
"practiceLocations": [
{
"address_1": "2804 Birch St",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261011910",
"country_code": "US",
"telephone_number": "304-424-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICE",
"first_name": "MACKENZIE",
"middle_name": "RENE",
"credential": "ATC, OPE-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WV",
"license": "AT001613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.