MRS. MACKENZIE CLOTWORTHY (NPI# 1629492277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629492277 |
| Entity Type | Individual |
| Full Name | MRS. MACKENZIE CLOTWORTHY |
| Credential | CPNP |
| Practice Address |
4211 Watonga Blvd Houston TX 77092-5324 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Mailing Telephone | 8325485000 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP127107 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
192194 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4211 WATONGA BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77092-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912492109 | Legacy Community Health Services, Inc | Clinic/Center | 4211 Watonga Blvd, Houston, TX 77092-5324 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351140 | Neuro-sleep Solutions LLC | Clinic/Center | 2710 Mangum Road, Building 2, Houston, TX 77092 | 2019-11-25 |
| 1699259853 | Sonoma Zu-bolton | Massage Therapist | 2950 N Loop West, Ste 500, Houston, TX 77092 | 2018-09-23 |
| 1043798952 | Victoria Adegoke | Registered Nurse | Total Home Health Inc, 2550 North Loop W, Houston, TX 77092 | 2018-08-02 |
| 1760977698 | Lourdes B Paravicini Garcia | Home Health Aide | 5700 Nw Central Dr., #401, Houston, TX 77092 | 2018-06-23 |
| 1891203279 | Lucianna Dehoyos | Specialist/Technologist | 4631 Trembling Forest Ln, Houston, TX 77092 | 2018-01-19 |
| 1306354394 | Patricia S Whiting | Physical Therapy Assistant | 5040 Lido Ln, Houston, TX 77092 | 2018-01-12 |
| 1124543251 | Ana J Reyes | Registered Nurse | 5700 Nw Central Dr Ste 401, Houston, TX 77092 | 2017-08-09 |
| 1932621851 | Ross Little | Specialist/Technologist | 4001 Watonga Boulevard, #3214, Houston, TX 77092 | 2017-07-12 |
| 1427583020 | Victorious Wellness Center | Nursing Care | 7035 W Tidwell Rd Ste J109b, Houston, TX 77092 | 2017-04-21 |
| 1275089823 | Blessing Obehi Adodo | Pharmacist | 2900 N Loop West, Houston, TX 77092 | 2016-09-01 |
| Find all providers in zip 77092 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266538 | Kristen Nicole Herzog | Nurse Practitioner | 1644 W 13th St, Houston, TX 77008-6451 | 2019-10-16 |
| 1023667185 | Kristin Becker | Nurse Practitioner | 18200 Katy Fwy Ste Wd200, Houston, TX 77094-1399 | 2019-09-10 |
| 1740763721 | Emily Christopherson Shushtari | Nurse Practitioner | 1619 Scenic Ridge Dr, Houston, TX 77043-3408 | 2018-09-14 |
| 1619454097 | Debbie Raucci Robbins | Nurse Practitioner | 3845 Cypress Creek Pkwy Ste 180, Houston, TX 77068-3532 | 2018-07-27 |
| 1063901627 | Tonya Barnett | Nurse Practitioner | 15555 Kuykendahl Rd Fl 3, Houston, TX 77090-3651 | 2018-05-08 |
| 1619342565 | Ritika Tina Dewan | Nurse Practitioner | 6621 Fannin St Fl 1, Houston, TX 77030-2358 | 2015-12-03 |
| 1467858175 | Jessica Marie Ginn | Nurse Practitioner | 8329 Lawndale St, Houston, TX 77012-3707 | 2014-11-06 |
| 1477875037 | Hiji Geneva Washington | Nurse Practitioner | 5410 N Braeswood Blvd Apt 912, Houston, TX 77096-3251 | 2010-02-24 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| 1295999134 | Christina Annette Bates | Nurse Practitioner | 5215 Jensen Dr, Houston, TX 77026-2514 | 2008-07-10 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MRS. MACKENZIE CLOTWORTHY.
| 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.