Individual provider Active NPI

McKenzie Siemion

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1720438682
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8769 Issued in AZ
Practice address
890 W Elliot Rd
Gilbert, AZ 85233-5102
Phone
(480) 282-3556
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8769 AZ Primary

Addresses

Primary practice location

890 W Elliot Rd
Gilbert, AZ 85233-5102

Mailing address

5346 E Winchcomb Dr
Scottsdale, AZ 85254-2938
Phone (480) 282-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823001572 AZ Practitioner - Nurse Practitioner 7810282308 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince May 2, 2017 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Sep 10, 2018 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Sep 10, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince May 2, 2017 Accepting new patients
Honorhealth Ambulatory CurrentSince May 2, 2017 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince May 2, 2017 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

26224 N Tatum Blvd
Ste 5
Phoenix, AZ 85050
Phone (480) 587-6775

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1720438682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 E WINCHCOMB DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542938",
            "telephone_number": "480-282-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-282-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMION",
        "first_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.