DAWN MCKENZIE (NPI# 1215288683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215288683 |
| Entity Type | Individual |
| Full Name | DAWN MCKENZIE |
| Credential | CRNP |
| Practice Address |
927 Broadway St Quincy IL 62301-2719 |
| Mailing Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172238400 |
| Practice Fax Number | 2172229807 |
| Mailing Telephone | 2172238400 |
| Mailing Fax Number | 2172229807 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2019019293 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209011861 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012399 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE LICENSE | SP012399 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427617273 | Dawn Mckenzie | Specialist/Technologist, Other | 1411 S Creasy Ln Ste 200, Lafayette, IN 47905-7434 | 2019-06-06 |
| Street Address |
927 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429957 | Venu Reddy | Internal Medicine | 927 Broadway St, Suite 204, Quincy, IL 62301-2719 | 2005-07-07 |
| 1932716925 | Olivia Louise Patterson | Registered Nurse | 927 Broadway St, Quincy, IL 62301-2719 | 2020-09-24 |
| 1598375727 | Marissa Jo Lumpkin | Behavior Technician | 927 Broadway St, Quincy, IL 62301-2719 | 2020-08-03 |
| 1093347429 | Mandi Nicole Law | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-02-04 |
| 1720618457 | Laura Starman | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-01-22 |
| 1033761234 | Ashley Monita Smith | Social Worker | 927 Broadway St, Quincy, IL 62301-2719 | 2019-07-09 |
| 1659834273 | Debra Anna Derhake | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1881157493 | Erin Katharine Vonderhaar | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1598228116 | Aleshia Dawn Gerding | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1992268510 | Dawn Crabtree | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154637973 | Compassionate Touch Healthcare Services, LLC | Nurse Practitioner | 1000 Strong Rd, Quincy, FL 32351-5249 | 2010-08-31 |
| 1639338049 | Donna Marie Slicis | Nurse Practitioner | 45 Hancock St, Apt 105, Quincy, MA 02171-1732 | 2008-06-02 |
| 1932284973 | Michelle Renee Miller | Nurse Practitioner | 185 E Chicago St, Quincy, MI 49082-1165 | 2006-10-26 |
| 1184647604 | Mary L Mckenney | Nurse Practitioner | 102 Pine St, Quincy, MA 02170-1208 | 2006-07-25 |
| 1568431161 | Theresa Mallory | Nurse Practitioner | 10 Willard Street, Quincy, MA 02169 | 2006-03-16 |
| 1942200324 | Jeanne C Benoit | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2005-07-28 |
| 1861046070 | Diana M Veihl | Nurse Practitioner | 3301 Broadway, Quincy, IL 62301 | 2019-07-25 |
| 1386206795 | Luke A Ellerman | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2019-07-05 |
| 1124401377 | Sharon Olson | Nurse Practitioner | 936 Broadway St, Quincy, IL 62301-2731 | 2015-07-07 |
| 1316338932 | Rachel Killam | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2015-02-18 |
| Find all providers in QUINCY | ||||
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| 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.