MS. LISA DAWN MCKENZIE (NPI# 1447294541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447294541 |
| Entity Type | Individual |
| Full Name | MS. LISA DAWN MCKENZIE |
| Credential | ARNP |
| Practice Address |
601 Brooker Creek Blvd Oldsmar FL 34677-2962 |
| Mailing Address |
5300 Eagle Lake Dr Palm Beach Gardens FL 33418-1539 |
| Practice Telephone | 8138183259 |
| Mailing Telephone | 5616304304 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2086822 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2086822 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760907034 | Lisa Marie Mckenzie | Behavior Technician | 111 Mackenan Dr, Cary, NC 27511-7903 | 2017-08-08 |
| 1992812432 | Lisa Lynn Mckenzie | Registered Nurse | 501 Morris St, Charleston, WV 25301 | 2006-08-23 |
| 1841232949 | Lisa Michelle Mckenzie | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2006-06-12 |
| Street Address |
601 BROOKER CREEK BLVD |
| City | OLDSMAR |
| State | FL |
| Zip Code | 34677-2962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710953450 | Janet Marie Smith | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2006-02-23 |
| 1356998652 | Medexpress Primary Care Texas, P.a. | General Practice | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2019-08-21 |
| 1568987873 | Tanisha Johnson | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2017-08-08 |
| 1871016451 | Lindsay Tucker | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2017-07-25 |
| 1700312295 | Ian O'brien | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2017-05-03 |
| 1811437049 | Sarah Monahan | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2017-03-07 |
| 1790143618 | Valerie Owens | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2016-02-05 |
| 1407212608 | Janet Hyacinth Brown-depass | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2016-01-05 |
| 1568827301 | Raquel Alison Roddy | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2015-12-21 |
| 1568866622 | Gina Renee Covington | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2014-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973388 | Bipin Bhika | Pharmacist | 1638 Graybark Drive, Oldsmar, FL 34677 | 2017-06-30 |
| 1336511286 | Family Medical Center of Port Richey | Family Medicine | 5225 Enclave Drive, Oldsmar, FL 34677 | 2015-10-30 |
| 1689057903 | Kailey D Creech | Speech-Language Pathologist | 502 State St E, Oldsmar, FL 34677 | 2015-07-06 |
| 1396161188 | United Home Services | In Home Supportive Care | 136 Cypress Ct., Oldsmar, FL 34677 | 2014-03-17 |
| 1215272281 | Reynaldo D. Candolea | Physical Therapist | 3865 Oldsmar Rd., Oldsmar, FL 34677 | 2012-12-03 |
| 1023342201 | Amber Gonzalez | Speech-Language Pathologist | 105 Woods Landing Trail, Oldsmar, FL 34677 | 2009-09-22 |
| 1659536027 | Dinar Sajan | Psychiatry & Neurology | 3919 Tampa Rd, Oldsmar, FL 34677 | 2008-07-24 |
| 1134326473 | Cheryl Lee Saldate | Radiologic Technologist | 3687 Tampa Road, Suite 202, Palm Harbor, FL 34677 | 2007-06-29 |
| 1417179672 | Tara Suzanne Chedester | Physical Therapist | 3865 Tampa Road, Oldsmar, FL 34677 | 2007-05-03 |
| 1467575480 | Amanda Marie Nagle | Occupational Therapist | 3980 Tampa Road, Unit 206, Oldsmar, FL 34677 | 2007-04-06 |
| Find all providers in zip 34677 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659819423 | Jennifer Michelle Barberi | Nurse Practitioner | 300 State St E, Unit 222, Oldsmar, FL 34677-3702 | 2017-02-01 |
| 1710953450 | Janet Marie Smith | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2006-02-23 |
| 1275963159 | Danielle Marianne Carrera | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2013-11-14 |
| 1518290147 | Martha Frances Griffin | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2009-09-15 |
| 1235275876 | Kathy Anne Getman | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2007-01-30 |
| 1598810947 | Wanda Marie Bryant | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2007-01-24 |
| 1790835213 | Sharon L Michota | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2007-01-10 |
| 1083777155 | Marguerite Mauradian | Nurse Practitioner | 601 Brooker Creek Blvd, Oldsmar, FL 34677-2962 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
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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.