Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MACKENZIE ELAINE HAGSTROM RN,BSN
NPI 1669387650
Student in an Organized Health Care Education/Training Program in Mississauga, ON

Active since August 17, 2026
3170 KIRWIN AVE, 1005, MISSISSAUGA, ON L5A3R Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mackenzie Elaine Hagstrom Rn,bsn NPPES

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

MACKENZIE ELAINE HAGSTROM RN,BSN (NPI 1669387650) is an individual student in an organized health care education/training program in Mississauga, ON, licensed in California (95095190) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1669387650
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE ELAINE HAGSTROMCredential: RN,BSN
Location Address3170 KIRWIN AVE, 1005Mississauga, ON L5A3R1
Mailing Address3170 Kirwin Ave, 1005Mississauga, ON L5A3R1
Sole ProprietorYes
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 16, 2026
NPI 1669387650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 95095190
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.
3170 KIRWIN AVE, Mississauga, ON L5A3R

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Hagstrom's NPI number?

The NPI number for Mackenzie Hagstrom is 1669387650. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Mackenzie Hagstrom located?

Mackenzie Hagstrom practices at 3170 Kirwin Ave 1005, Mississauga, ON L5A3R.

What is Mackenzie Hagstrom'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 Hagstrom was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.