Mackenzie Julienne Reshew, CPNP-PC, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN.0993502-NP Issued in CO

Practice address

3301 W 144TH Ave, Ste 200
Broomfield, CO 80023-9511

Phone

(303) 438-5522

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mackenzie Seibert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mackenzie.reshew.p1@direct.communityreachcenter.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.

• Brighton Pediatrics, P.C.

  • Pediatrics Physician
  • Brighton, CO
  • NPI 1407069453
  NPD (past)
• Mountainland Pediatrics Inc

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1619152576
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1629580022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342075",
            "telephone_number": "303-853-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W 144TH AVE, STE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239511",
            "telephone_number": "303-438-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 S 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806012472",
            "country_code": "US",
            "telephone_number": "303-659-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESHEW",
        "first_name": "MACKENZIE",
        "middle_name": "JULIENNE",
        "credential": "CPNP-PC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1651392",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0993502-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "SEIBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hailey Michelle Reinacher, RBT
• Renaissance Health Care, Inc
• Tomi Rendell, RN
• Catherine Denise Renella, ARNP
• Troy Justin Renfroe
• Retro Dental Broomfield DBD, LLC
• Retro Dental Group Broomfield
• Roger C Rettig, PT
• Suzette Monique Reuschel, DNP, WHNP, RNC
• Jolynne Reynolds, PH.D., LPC

• Pediatric Nurse Practitioner in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.