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MACKENZIE RAE SERGEON LPN
NPI 1114881091
Licensed Practical Nurse in Gassaway, WV

Active since December 15, 2025
64 STATE ST, GASSAWAY, WV 26624(304) 651-1063 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Rae Sergeon Lpn NPPES

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

MACKENZIE RAE SERGEON LPN (NPI 1114881091) is an individual licensed practical nurse in Gassaway, West Virginia, licensed in West Virginia (42331) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1114881091
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMACKENZIE RAE SERGEONCredential: LPN
Location Address64 STATE STGassaway, WV 26624-1132
Mailing Address64 State StGassaway, WV 26624-1132
Phone(304) 651-1063
Sole ProprietorYes
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1114881091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WV · 42331
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
64 STATE ST, Gassaway, WV 26624
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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.

TANYA HALL LPN
Home Health
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
CHANDLER REED POSEY
Registered Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
LISA S WARE
Registered Nurse (Home Health)
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
ABIGAIL KAREN DIVITA
Nurse's Aide
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
STACY FISHER
Licensed Practical Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
AMY NICOLE FIELDS LPN
Licensed Practical Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
MISTY DAWN CONNNOR
Nurse's Aide
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
AMANDA LEE HAMRICK
Registered Nurse (Home Health)
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063

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 Sergeon's NPI number?

The NPI number for Mackenzie Sergeon is 1114881091. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Mackenzie Sergeon located?

Mackenzie Sergeon practices at 64 State St, Gassaway, WV 26624. The listed phone number is (304) 651-1063.

What is Mackenzie Sergeon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Sergeon was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.