Mackenzie K Haddox

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

11960 Westline Industrial Dr Ste 232
Saint Louis, MO 63146-3209

Phone

(314) 579-0800

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1649759366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SOUTHWINDS CIR APT 1",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904546",
            "telephone_number": "636-221-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 WESTLINE INDUSTRIAL DR STE 232",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463209",
            "telephone_number": "314-579-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOX",
        "first_name": "MACKENZIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelle Ieleen Hackler, NCSP
• Chasade Marie Hackney, FNP-C
• Labib F Haddad, M.D.
• Rita Haddad, MD
• Cassandra Jo Haddox, DO
• Gwyn Mahony Hadeed, D.O.
• Kyla Hadenfeldt, MSW, LCSW
• Bassam Ar Hadi, M.D
• Satvik Ramiah Hadigal, MD
• Lisa R Hadley, LPC

• Health Educator in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Educator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.