Individual provider Active NPI

Kristi H. McKenzie, M.D.

  • Obstetrics & Gynecology Physician
  • Marble Falls, TX
National Provider Identifier
1811946346
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P7506 Issued in TX
Practice address
800 W Highway 71
Marble Falls, TX 78654-8606
Phone
(830) 201-7100
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P7506 TX Primary
Obstetrics & Gynecology Physician 207V00000X 39414 KY

Addresses

Primary practice location

800 W Highway 71
Marble Falls, TX 78654-8606

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other identifiers 3

IdentifierTypeStateIssuer
64100191MedicaidKY
37903705OtherKYMEDICAID LAB GROUP
4000501OtherKYMEDICARE LAB GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmckenzie1177936@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318001463 TX Practitioner - Obstetrics/Gynecology 0345289500 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39414KYMDObstetrics & Gynecology Physician
P7506TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 25, 2015 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology Current Accepting new patients
Texas Children's Physician Group CurrentSince Jan 23, 2025 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology CurrentSince Apr 11, 2023 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Mikeal Love, M.D, PA Obstetrics & Gynecology Past Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

800 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11541/brand/55/csg/721/fhir/r4
  • Direct secure messaging: kmckenzie1177936@direct.sw.org
  • Direct secure messaging: joon.choi.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 7

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1811946346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 71",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786548606",
            "telephone_number": "830-201-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KRISTI",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P7506",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "39414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64100191",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GROUP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GROUP",
            "identifier": "4000501",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmckenzie1177936@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Highway 71",
            "city": "Marble Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786548606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.