Individual provider Active NPI

Yyvette Nicole McKenzie, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1922429323
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN085609-MED Issued in OH
Practice address
1561 Old Leonard Ave
Columbus, OH 43219-2580
Phone
(614) 815-3396
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Community/Behavioral Health Agency 251S00000X OH
Licensed Practical Nurse 164W00000X PN085609-MED OH Primary
Peer Specialist 175T00000X PRS.006082 OH

Addresses

Primary practice location

1561 Old Leonard Ave
Columbus, OH 43219-2580

Mailing address

906 Highland Ave SW
Warren, OH 44485-3833
Phone (317) 771-0739

Other practice location 1

12309 Greenwood Dr
Pickerington, OH 43147-7592
Phone (317) 771-0739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN085609-MEDOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Redefined LLC Community/Behavioral Health Current Accepting new patients
F.F. Veterans Holistic Services CurrentSince Jan 19, 2025 Accepting new patients

Locations

1561 Old Leonard Ave
Columbus, OH 43219
Phone (614) 655-4300

Organizations & group practices 2

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1922429323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 HIGHLAND AVE SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853833",
            "telephone_number": "317-771-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 OLD LEONARD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192580",
            "telephone_number": "614-815-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12309 Greenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431477592",
            "country_code": "US",
            "telephone_number": "317-771-0739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "YYVETTE",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN085609-MED",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "PRS.006082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.