MRS. MCKENZIE NICOLE HERNDON BSW
NPI 1063906741
Contractor in Valdosta, GA

Active since June 18, 2018
4141 OLD IVY TRCE, VALDOSTA, GA 31605(229) 561-3920 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mckenzie Nicole Herndon Bsw NPPES

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

MRS. MCKENZIE NICOLE HERNDON BSW (NPI 1063906741) is an individual contractor provider in Valdosta, Georgia and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1063906741
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameMRS. MCKENZIE NICOLE HERNDONCredential: BSW
Location Address4141 OLD IVY TRCEValdosta, GA 31605-5718
Mailing Address4141 Old Ivy TrceValdosta, GA 31605-5718 · (229) 561-3920
Sole ProprietorYes
Enumeration DateJune 18, 2018
NPI 1063906741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
4141 OLD IVY TRCE, Valdosta, GA 31605

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 Mckenzie Herndon's NPI number?

The NPI number for Mckenzie Herndon is 1063906741. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Mckenzie Herndon located?

Mckenzie Herndon practices at 4141 Old Ivy Trce, Valdosta, GA 31605. The listed phone number is (229) 561-3920.

What is Mckenzie Herndon's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Mckenzie Herndon was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.