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MACKENZIE RIDLEY PA
NPI 1053101378
Student in an Organized Health Care Education/Training Program in Provo, UT

Active since May 09, 2025
1800 NOVELL PL, PROVO, UT 84606(801) 375-5125 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Ridley Pa NPPES

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

MACKENZIE RIDLEY PA (NPI 1053101378) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1053101378
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE RIDLEYCredential: PA
Location Address1800 NOVELL PLProvo, UT 84606-6171
Mailing Address1800 Novell PlProvo, UT 84606-6171 · (801) 375-5125
Phone(801) 375-5125
Sole ProprietorNo
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1053101378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1800 NOVELL PL, Provo, UT 84606
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JESSICA WILLMORE HAYES
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KAYLEN MCGUIRE PA-S
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
ELIZABETH WUERCH
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
RACHEL VELA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (503) 403-8268
LAUREN VICTORIA BROWN
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 200-6741
HALEY ANN EDONE
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KELLIE LYNN CAMPBELL
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
DR. MATTHEW ORGILL OD
Optometrist
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125

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 Mackenzie Ridley's NPI number?

The NPI number for Mackenzie Ridley is 1053101378. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Mackenzie Ridley located?

Mackenzie Ridley practices at 1800 Novell Pl, Provo, UT 84606. The listed phone number is (801) 375-5125.

What is Mackenzie Ridley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Ridley was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.