Mackenzie Ikemire

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2023004434 Issued in MO

Practice address

9223 RT-152 W
Kansas City, MO 64157

Phone

(816) 792-2266

NPI assigned

Feb 16, 2023

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

State licenses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1821796236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 N HICKORY ST APT 2-033",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641186413",
            "telephone_number": "217-690-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9223 RT-152 W",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64157",
            "telephone_number": "816-792-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEMIRE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2023004434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Michelle Iglar, PHARMD, BCPS
• Ignite Medical Resort Carondelet, LLC
• Ignite Medical Resort Kansas City LLC
• Nadia Igram
• Ihper Mo Corp
• Lucy Belie Ikona, RPH
• Christelle Marlyse Ilboudo, M.D.
• Ajoke Ilori
• Amy Imafidon, RN
• Imagine Renaissance Academy for Math and Science

• Physical Medicine & Rehabilitation Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.