MARY MCKENZIE FNP-BC
NPI 1013012509
Nurse Practitioner - Family in Longview, TX

Active since September 13, 2006
2021 W LOOP 281, LONGVIEW, TX 75604(903) 295-1396 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Mckenzie Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MCKENZIE FNP-BC (NPI 1013012509) is an individual family provider in Longview, Texas, licensed in Texas (556727) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1013012509
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MCKENZIECredential: FNP-BC
Location Address2021 W LOOP 281Longview, TX 75604-2504
Mailing AddressPo Box 847176Dallas, TX 75284-7176 · (903) 237-1800 · Fax (903) 237-1810
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateSeptember 10, 2012
NPI 1013012509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 556727
2021 W LOOP 281, Longview, TX 75604

Other Identifiers 3

Other8N3057TX · Blue Cross Blue Shield
Medicaid127102509TX
Medicare PINTXB148170TX

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2021 W LOOP 281
LONGVIEW, TX 75604
Internal Medicine
2021 W LOOP 281
LONGVIEW, TX 75604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mckenzie's NPI number?

The NPI number for Mary Mckenzie is 1013012509. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Mary Mckenzie located?

Mary Mckenzie practices at 2021 W Loop 281, Longview, TX 75604. The listed phone number is (903) 295-1396.

What is Mary Mckenzie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Mckenzie was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.