McKenzie Lynn Stock, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

123815 Issued in AR

Practice address

2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722

Phone

(407) 552-1035

NPI assigned

May 22, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peach State Medical Practice, PC

  • Reproductive Endocrinology Physician
  • Rogers, AR
  • NPI 1013647569
  NPD (past)
• Peach State Medical Practice, PC

  • Reproductive Endocrinology Physician
  • North Bethesda, MD
  • NPI 1962116806
  NPD (past)

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1629817234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 S PROMENADE BLVD STE 5185",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588722",
            "telephone_number": "407-552-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 S PROMENADE BLVD STE 5185",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588722",
            "telephone_number": "407-552-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "MCKENZIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "123815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Stewart, MS/OTR
• Kristen M Stewart
• Mellinda Stewart, OD
• Katie Ellen Stilwell Bloodworth, MA, CCC-SLP
• Stephanie Stinnett, OTR/L
• Devin Stone
• Jackson Scott Stone, DPT
• Nathan Tyler Stone, CIT, RDS
• Virginia L Storey, PTA
• Lauren Story-Hefta, MD

• Family Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.