REBECCA GAIL MCKENZIE - NPI 1063977312 - Dietitian, Registered in Apple Valley, CA

Q: What is Rebecca Mckenzie's NPI number?

The NPI number for Rebecca Mckenzie is 1063977312. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Q: What is Rebecca Mckenzie's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Mckenzie was last updated on January 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rebecca Gail Mckenzie NPPES

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

REBECCA GAIL MCKENZIE (NPI 1063977312) is an individual nutrition, pediatric provider in Apple Valley, California, licensed in California (86075778) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1063977312

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameREBECCA GAIL MCKENZIE

Location Address18300 CA-18Apple Valley, CA 92307

Mailing Address6382 N Brenda LnSan Bernardino, CA 92407-4039 · (909) 965-2880

Phone(760) 242-2311

Sole ProprietorYes

Enumeration DateJanuary 31, 2019

✔ NPI 1063977312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

License✔ Licensed in CA · 86075778

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86075778 (CA)

18300 CA-18, Apple Valley, CA 92307

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Other Identifiers 1

Other86075778CA · Academy Of Nutrition And Dietetics

Other Providers at the Same Location NPPES 8

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

MR. JESUS A QUINONEZ NP

Nurse Practitioner