Kristin McKenzie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1400 SE Goldtree Dr Ste 102-104
Port Saint Lucie, FL 34952-7582

Phone

(772) 335-8446

NPI assigned

Sep 10, 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)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: kristin.mckenzie@hca4.eclinicaldirectplus.com

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1760965370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 SW MAPLEWOOD DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902734",
            "telephone_number": "772-233-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR STE 102-104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-335-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvia McFarlane
• Sheron Jasmine McFarlane, RN
• Michelle McGeachy, DO
• Leah Nicole McGee, MS
• Richelle Diondra McGriff, APRN, FNP-BC
• Kristina Anne McMenamy, PSY.D.
• Kettelene Philogene McMorris, APRN
• Victoria Nicole McMurrain, APRN
• Brianna McMurray
• Cassandra Andrea McMurren

• Physician Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.