NPIMap

Individual provider Active NPI

Mackenzie Price

  • Physician Assistant
  • Slaton, TX
National Provider Identifier
1821391533
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06962 Issued in TX
Practice address
130 N 7TH St
Slaton, TX 79364-4266
Phone
(806) 828-5822
Fax
(806) 828-5824
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06962 TX Primary

Addresses

Primary practice location

130 N 7TH St
Slaton, TX 79364-4266

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Other names 1

  • Mackenzie Nichols Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mackenzie.nichols@direct.myteamcare.com UMC Physicians

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000011 TX Practitioner - Physician Assistant 3173708153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

130 N 7TH St
Slaton, TX 79364-4266
Phone (806) 828-5822

4105 I
Suite 27
Lubbock, TX 79404-2749
Phone (806) 762-2633

7501 Quaker Ave
Lubbock, TX 79424-3367
Phone (806) 788-3306

808 Joliet Ave
Unit 110
Lubbock, TX 79415-1148
Phone (806) 761-0545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Physician Assistant CurrentSince Jan 13, 2011 Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Texas Tech University Health Sciences Center University Associates Past Accepting new patients

Locations

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

5219 City Bank Pkwy
Ste 214
Lubbock, TX 79407

130 N 7th St
Slaton, TX 79364
Phone (806) 828-5822

Interoperability endpoints

  • Direct secure messaging: mackenzie.nichols@direct.myteamcare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1821391533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N 7TH ST",
            "city": "SLATON",
            "state": "TX",
            "postal_code": "793644266",
            "telephone_number": "806-828-5822",
            "fax_number": "806-828-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.nichols@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "130 N 7th St",
            "city": "Slaton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "793644266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "NICHOLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Slaton, TX

Sources for this page

Verify at the official NPI Registry.