MCKENZIE BRACE (NPI# 1508416579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508416579 |
| Entity Type | Individual |
| Full Name | MCKENZIE BRACE |
| Practice Address |
800 E 28th St Minneapolis MN 55407-3723 |
| Mailing Address |
3243 Fillmore St Ne Minneapolis MN 55418-2152 |
| Practice Telephone | 6128634000 |
| Mailing Telephone | 3199398354 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC3500X |
Registered Nurse Specialization: Cardiac Rehabilitation |
2375351 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RN | 2375351 | 01 |
| Street Address |
800 E 28TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
| 1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
| 1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
| 1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
| 1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
| 1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
| 1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 163WC3500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Cardiac Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004194 | Jinlan Wang | Registered Nurse | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-08-18 |
| 1043722101 | Andrea Sue Simon | Registered Nurse | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2017-10-30 |
| 1255843249 | Sheila Beth Knode | Registered Nurse | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2017-10-30 |
| 1225549751 | Alex Trenhaile | Registered Nurse | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2017-10-24 |
| 1255482980 | Janet Joy Mraz | Registered Nurse | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2007-01-16 |
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on MCKENZIE BRACE.
| 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.