DR. JULIE BLACK MCKENZIE (NPI# 1679953053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679953053 |
| Entity Type | Individual |
| Full Name | DR. JULIE BLACK MCKENZIE |
| Credential | D.O. |
| Practice Address |
360 Peak One Dr. #260 Frisco CO 80443 |
| Mailing Address |
Po Box 568 Frisco CO 80443-0568 |
| Practice Telephone | 9706685584 |
| Practice Fax Number | 9702622196 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR0057620 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902985070 | Julie Brooke Mckenzie | Occupational Therapist | 929 Nottingham Dr, Naples, FL 34109-1651 | 2006-11-02 |
| Street Address |
360 PEAK ONE DR. #260 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801999198 | Christine Ann Hoppe | Family Medicine | 360 Peak One Dr., #100, Frisco, CO 80443 | 2006-09-05 |
| 1194170639 | Shannon Downen | Registered Nurse | 360 Peak One Dr., Suite 230, Frisco, CO 80443-2280 | 2016-05-03 |
| 1154759397 | Susan Preaus | Counselor | 360 Peak One Dr., Suite 100, Frisco, CO 80443 | 2013-10-25 |
| 1619244415 | Kimberly Ann Benedict | Specialist/Technologist | 360 Peak One Dr., Ste. 180, Frisco, CO 80443-1303 | 2011-11-22 |
| 1699050583 | Jessica M Johnston | Clinical Nurse Specialist | 360 Peak One Dr., Frisco, CO 80443 | 2011-10-11 |
| 1306131248 | Diana Horton Lienemann | Occupational Therapist | 360 Peak One Dr., Suite 190, Frisco, CO 80443-0785 | 2011-06-17 |
| 1235446642 | Stephanie Barnett | Dentist | 360 Peak One Dr., Suite 100, Frisco, CO 80443 | 2010-09-07 |
| 1386960284 | Melissa Chang Volkert | Occupational Therapist | 360 Peak One Dr., Suite 190, Frisco, CO 80443-0785 | 2010-04-16 |
| 1043403314 | Amy Lynn Wineland | Registered Nurse | 360 Peak One Dr., Suite 230, Frisco, CO 80443 | 2007-08-21 |
| 1285842930 | Bristlecone Health Services | Home Health | 360 Peak One Dr., Suite 210, Frisco, CO 80443 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246540 | Avani Patel | Family Medicine | 13545 Torrington Dr, Frisco, TX 75035-7395 | 2020-02-12 |
| 1174162952 | Courtney Chovanak Nicholls | Family Medicine | 3323 Cumberland Ln, Frisco, TX 75033-2375 | 2019-12-27 |
| 1952952533 | Myfitmed Provider Pllc | Family Medicine | 615 Main St Ste 104, Frisco, TX 75036-4313 | 2019-09-24 |
| 1689222945 | Phoenix Integrative Medical Center Pllc | Family Medicine | 6380 Preston Rd, Frisco, TX 75034-6384 | 2019-08-29 |
| 1407409311 | Connections Primary Care Frisco | Family Medicine | 255 W Lebanon Ste 124, Frisco, TX 75036-3412 | 2019-07-19 |
| 1932670643 | Lynda E. Mbah, Md, Pllc | Family Medicine | 5285 Independence Pkwy Ste 400, Frisco, TX 75035-4646 | 2018-12-07 |
| 1700352820 | Ideh Macdonald | Family Medicine | 57 Cattail Pond Dr, Frisco, TX 75034-8584 | 2018-10-16 |
| 1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
| 1245744580 | Whhwc LLC | Family Medicine | 5899 Preston Rd Ste 803, Frisco, TX 75034-7425 | 2017-11-22 |
| 1023528239 | My Medical Housecall & Wellness LLC | Family Medicine | 5570 Fm 423 Ste 250-2011, Frisco, TX 75034 | 2017-10-03 |
| Find all providers in FRISCO | ||||
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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.