Ann P. McKenzie, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP007358 Issued in PA

Practice address

St. Christopher'S Hospital for Children
Front Street at Erie Avenue
Philadelphia, PA 19134-1095

Phone

(215) 427-3839

Fax

(215) 427-6684

NPI assigned

Aug 14, 2006

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)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679586390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 COPPER BEECH LN",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872757",
            "telephone_number": "610-964-6261",
            "fax_number": "610-971-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
            "address_2": "FRONT STREET AT ERIE AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341095",
            "telephone_number": "215-427-3839",
            "fax_number": "215-427-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ANN",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP007358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Bernard McKenna, M.D.
• Rachel A McKenna, CRNP
• Victoria McKenna, DNP, CRNP, PNP-AC
• Tina Marie McKennon, CRNP
• McKenzie Sports Therapy LLC
• Arlene Gwendolyn McKenzie, PHARM. D.
• Christopher Michael McKenzie, PT, DPT
• Dakota Lawton McKenzie, DDS
• Detra Diane McKenzie, RN
• Emma McKenzie, PT, DPT

• Pediatric Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.