MACKENZIE TARGETT NPI 1972220598

NPI Information

  • NPI: 1972220598
  • Provider Name: MACKENZIE TARGETT
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 220 RESERVOIR ST STE 21
    NEEDHAM, MA
    ZIP 02494
  • Phone: (781) 429-7755

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NPI Details

Mackenzie Targett is a psychiatric/mental health nurse practitioner in Needham, MA. Mackenzie Targett NPI is 1972220598. 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:

220 RESERVOIR ST STE 21
NEEDHAM, MA
ZIP 02494-133
Phone: (781) 429-7755

The NPI 1972220598 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 10/24/2022 and was last updated on 4/22/2024.

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
1163WP0808XRegistered NursePsychiatric/Mental HealthRN2363139MASSACHUSETTSNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2363139MASSACHUSETTSYes

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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