Lesia B McKenzie, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

24090 Issued in SC

Practice address

3394 Young Charles Dr
Florence, SC 29501-8272

Phone

(843) 624-8098

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1912529009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 YOUNG CHARLES DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018272",
            "telephone_number": "843-624-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 YOUNG CHARLES DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018272",
            "telephone_number": "843-624-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "LESIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "93302",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "24090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "93302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "93302",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire McKay
• Lelia Denise McKay, MS LPC
• Shawn P McKay, MD
• Celista McKenzie
• Charles Phillip McKenzie, PHARMD
• Phylicia McKenzie
• Sidney Allen McKenzie, CRNA
• Tara McKenzie, MSP
• Brittany McKever
• Hugh Martin McKittrick

• Gerontology Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.