MR. SHANNON L MCKENZIE (NPI# 1417434150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417434150 |
| Entity Type | Individual |
| Full Name | MR. SHANNON L MCKENZIE |
| Practice Address |
3913 Lynn Dr Anchorage AK 99508-5745 |
| Practice Telephone | 9073360080 |
| Mailing Telephone | 9073360080 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1063221 | AK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861814360 | Shannon Lynn Mckenzie | Physical Therapy Assistant | 1300 Ne 16th Ave, Portland, OR 97232 | 2014-01-17 |
| Street Address |
3913 LYNN DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578065793 | Aderonke Akindipe Fnp LLC | Home Health | 2942 Gladys Marie Cir # Q, Anchorage, AK 99516-1407 | 2018-03-03 |
| 1609311430 | Shine Bright Care, LLC | Home Health | 6407 Brayton Dr Ste 100, Anchorage, AK 99507-2149 | 2017-01-03 |
| 1639521214 | Shine Bright Care | Home Health | 3007 Arctic Blvd Spc 2, Anchorage, AK 99503-3478 | 2016-07-07 |
| 1336540624 | Alaskan Home Health, Inc | Home Health | 9191 Old Seward Hwy Ste 19a, Anchorage, AK 99515-2040 | 2014-09-06 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1164850707 | Aviana Home Care Services LLC | Home Health | 7671 Little Bend Cir, Anchorage, AK 99507-2945 | 2013-10-17 |
| 1609118397 | Frontier Home Health and Hospice, LLC | Home Health | 3909 Artic Blvd, Anchorage, AK 99503-5770 | 2013-03-21 |
| 1699014597 | Elizabeth Ann Moe | Home Health | 1835 Bragaw St Ste 200, Anchorage, AK 99508-3469 | 2013-02-12 |
| 1215274535 | Immediate Care | Home Health | 1835 S. Bragaw, Suite 200, Anchorage, AK 99508 | 2013-01-07 |
| 1154673234 | House of Peace, Alh | Home Health | 2011 Terrebonne Loop, Anchorage, AK 99502-7276 | 2012-10-12 |
| Find all providers in ANCHORAGE | ||||
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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.