Mackenzee Cheyenne Meyer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2200 Bonforte Blvd
Pueblo, CO 81001-4901

Phone

(916) 367-8599

NPI assigned

Dec 6, 2020

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": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1811593841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043718",
            "telephone_number": "916-367-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BONFORTE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810014901",
            "telephone_number": "916-367-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Minnequa Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043718",
            "country_code": "US",
            "telephone_number": "916-367-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MACKENZEE",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Rose Messer
• Mitchell Albert Mestas
• Ron Mestas, LPC
• Cristin C Metze
• David Charles Meyer, M.D.
• Sarah Elizabeth Meyer, P.T.
• Russell J. Meyerhofer, PHD
• Mga Home Healthcare Pueblo, LLC (MGA Homecare)
• Mi Casa Transitional Services Inc
• Mi Casa Transitional Services Inc

• Student in an Organized Health Care Education/Training Program in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.