Phelicia McKenzie, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

599845 Issued in NY

Practice address

11666 233Rd St
Cambria Heights, NY 11411-1836

Phone

(917) 916-5133

NPI assigned

Nov 15, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1992274203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11666 233RD ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111836",
            "telephone_number": "917-916-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11666 233RD ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111836",
            "telephone_number": "917-916-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "PHELICIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "599845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Massa, RN
• Matrix Medical Network
• Kimberly Matthews, M.D
• Dominque Mayers
• Cheryl Ann McKay- Mitchell, FNP
• Shirley Ava McLamore
• Andrea Cecile McNeil Tucker, LCSW
• Jeannette Patricia Mehala, RN
• Cherryl Melhado, RN
• Nadege Regine Menelas, RD

• Registered Nurse in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.