McKenzie Ann Jensen, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

082766 Issued in IA

Practice address

312 N Fremont St
Stuart, IA 50250-2083

Phone

(641) 332-3810

NPI assigned

Jan 28, 2020

Last updated

Jan 28, 2020By the provider in NPPES

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

Enrolled in IA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guthrie County HospitalGroup PAC ID 6204745110, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Medicare reassignment Care Compare group NPD
• Guthrie County Hospital

  dba GCH Clinics

  • Family Medicine Physician
  • Panora, IA
  • NPI 1962654921
  NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1942831003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N FREMONT ST",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502502083",
            "telephone_number": "641-332-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Guthrie Center",
            "state": "IA",
            "postal_code": "501151544",
            "country_code": "US",
            "telephone_number": "641-332-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MCKENZIE",
        "middle_name": "ANN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "082766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GRX Holdings LLC (Wright Pharmacy)
• GRX Holdings, LLC (Wright Pharmacy)
• Guthrie County Hospital (GCH Clinics)
• Harmony Chiropractic, PC
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Kari Jo Johns, DPT
• Allison Kaisersatt, OTR
• Kewi Inc. (Wright Pharmacy)
• Beth Ann Lyons, DPT
• Stephanie Lynn Mahoney, BT

• Speech-Language Pathologist in Stuart, IA
• Providers in Stuart, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.