MACKENZIE BOX NPI 1285330183

NPI Information

  • NPI: 1285330183
  • Provider Name: MACKENZIE BOX
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1830 TOWN CENTER DR STE 205
    RESTON, VA
    ZIP 20190
  • Phone: (703) 435-3636

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NPI Details

Mackenzie Box is a pediatrics nurse practitioner in Reston, VA with 10 years of experience. Mackenzie Box NPI is 1285330183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1830 TOWN CENTER DR STE 205
RESTON, VA
ZIP 20190-236
Phone: (703) 435-3636

The NPI 1285330183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2023 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics0024186498VIRGINIAYes
2163W00000XRegistered Nurse0001317538VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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