Makenzie Disbennet, CDCA

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN.523386 Issued in OH

Practice address

335 Township Road 1026
South Point, OH 45680-7842

Phone

(740) 744-4055

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1972177129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "304-429-1088",
            "fax_number": "304-696-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 TOWNSHIP ROAD 1026",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807842",
            "telephone_number": "740-744-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISBENNET",
        "first_name": "MAKENZIE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.176550",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "RN.523386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Delapa, ARDMS, AART
• Breanna Dement
• Benjamin Holbrook Denson, B.S.
• Charles Edward Devaney III
• Brittany Dillon
• Christopher Dixon
• Danielle Doss, BSW, LSW
• Ashley Ann Edwards
• Tammy Eidson, LISW, MSW, LSW
• Robert Michael Eldridge

• Medical-Surgical Registered Nurse in South Point, OH
• Providers in South Point, OH by specialty
• Medical-Surgical Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.