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DR. MCKENZIE KATE WALDREP DO
NPI 1336938489
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since May 05, 2025PECOS Enrolled
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-3500 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mckenzie Kate Waldrep Do NPPES

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

DR. MCKENZIE KATE WALDREP DO (NPI 1336938489) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336938489
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MCKENZIE KATE WALDREPCredential: DO
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address374 Dundee CtMartinez, GA 30907-2558 · (706) 834-7063
Phone(910) 615-3500
Sole ProprietorYes
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1336938489 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.
1638 OWEN DR, Fayetteville, NC 28304
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Other Names 1

Former Name (1)Mckenzie Kate Allen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mckenzie Kate Waldrep Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MR. KEVIN TRAVIS WORTH CRNA
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
DR. OMAIR MOHAMED
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3780
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000

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 Waldrep's NPI number?

The NPI number for Mckenzie Waldrep is 1336938489. It was assigned to this individual provider in the NPPES registry on May 5, 2025. The provider is also known as Mckenzie Kate Allen.

Where is Mckenzie Waldrep located?

Mckenzie Waldrep practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-3500.

What is Mckenzie Waldrep's specialty?

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

Is Mckenzie Waldrep enrolled in Medicare?

Yes. Mckenzie Waldrep is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckenzie Waldrep was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.