McKenzie Callagy, LPN
Licensed Practical Nurse in Shirley, NY. Individual provider (NPI-1).
NPI number1023665643
StatusActive
Last updated in NPPESDec 4, 2019
Details
- NPI
- 1023665643
- Entity type
- Individual (NPI-1)
- Name
- Ms. McKenzie Callagy
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2019
- Last updated
- Dec 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 330852 | NY | Yes |
Practice location
105 Moriches Middle Island RdShirley, NY 11967-1229
Phone 631-965-7165
Mailing address
105 Moriches Middle Island RdShirley, NY 11967-1229
Phone 631-965-7165
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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