STACEY MCKENZIE (NPI# 1023418530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023418530 |
| Entity Type | Individual |
| Full Name | STACEY MCKENZIE |
| Credential | APRN |
| Practice Address |
5445 Sky Ridge Rd Charlestown IN 47111-8949 |
| Practice Telephone | 8122463206 |
| Mailing Telephone | 8122463206 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008904 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447208970 | Stacey L Mckenzie | Physical Therapist | 210 E. Derenne Ave, Savannah, GA 31405 | 2006-05-05 |
| 1699768101 | Stacey W Mckenzie | Internal Medicine | 2151 Century Ln, Johnson City, TN 37604-4469 | 2005-08-30 |
| Street Address |
5445 SKY RIDGE RD |
| City | CHARLESTOWN |
| State | IN |
| Zip Code | 47111-8949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003275488 | Janet Hilderbrand | Counselor | 7509 Charleston Pike, Charleston, IN 47111 | 2016-02-15 |
| 1891117784 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 2400 Market Street, Charlestown, IN 47111 | 2014-01-10 |
| 1497996466 | Rivercrossing Independent and Assisted Living Community | Assisted Living Facility | 2400 West Market Street, Charlestown, IN 47111 | 2009-03-20 |
| 1790973030 | Saint Catherine Physicians Services LLC | Nurse Practitioner | 2100 Market St., Charlestown, IN 47111 | 2007-10-11 |
| 1962628990 | Travis Lee Gross | Dentist | 9419 State Road 403, Charlestown, IN 47111 | 2007-04-18 |
| 1366585572 | William H Garner IIi | Surgery | 2100 Market Street, Charlestown, IN 47111 | 2007-02-15 |
| 1871603803 | Gary E Smith | Dentist | 1417 Market St, Charlestown, IN 47111 | 2006-08-31 |
| 1841239464 | Jennifer S Kramp | Physical Therapist | 9407 County Rd 403, Charlestown, IN 47111 | 2006-06-06 |
| 1861472169 | Michael Patrick Hensley | Physical Therapist | 9407 Highway 403, Charlestown, IN 47111 | 2006-01-20 |
| 1598289183 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9616 County Road 403, Charlestown, IN 47111 | 2017-07-26 |
| Find all providers in zip 47111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1740677558 | Claire E Ellis | Nurse Practitioner | 7725 Highway 62, Suite 100, Charlestown, IN 47111-9637 | 2015-04-20 |
| 1902945371 | Ellen E Coletti | Nurse Practitioner | 529 Main St Ste 222, Charlestown, MA 02129-1101 | 2007-02-05 |
| 1851379887 | Catherine Coomer | Nurse Practitioner | 9431 Highway 403, Charlestown, IN 47111-8946 | 2006-01-09 |
| 1497352991 | Scarlett Gleason Mikesell-pierce | Nurse Practitioner | 9501 County Road 403, Charlestown, IN 47111-8939 | 2020-10-07 |
| 1447803721 | Brittany Ann Winsor | Nurse Practitioner | 9431 County Road 403, Charlestown, IN 47111-8946 | 2019-07-16 |
| 1013574524 | Erin Anne Bolger | Nurse Practitioner | 529 Main St Ste 222, Charlestown, MA 02129-1101 | 2019-05-21 |
| 1467943621 | Danielle Belanger | Nurse Practitioner | 529 Main St Ste 222, Charlestown, MA 02129-1101 | 2018-05-23 |
| 1750815429 | Grace St. Pierre | Nurse Practitioner | 125 Main St, Charlestown, NH 03603-4914 | 2017-04-19 |
| 1043689672 | Jeremy Lee Wilt | Nurse Practitioner | 9431 County Road 403, Charlestown, IN 47111-8946 | 2015-09-24 |
| Find all providers in CHARLESTOWN | ||||
| City | CHARLESTOWN |
| Zip Code | 47111 |
Please comment or provide details below to improve the information on STACEY MCKENZIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.