Healthcare Provider Details

I. General information

NPI: 1508293234
Provider Name (Legal Business Name): CAROL JOY BIGGS MCKENZIE R.N M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROL JOY BIGGS-OWENS REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 09/26/2013
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE 125TH ST
NORTH MIAMI FL
33161-6034
US

IV. Provider business mailing address

1400 NE 125TH ST
NORTH MIAMI FL
33161-6034
US

V. Phone/Fax

Practice location:
  • Phone: 305-301-0826
  • Fax: 866-599-2563
Mailing address:
  • Phone: 866-599-2562
  • Fax: 866-599-2563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRN2989182
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN2989182
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN2989182
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN2989182
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN2989182
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number019612500
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberRN2989182
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN2989182
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN2989182
License Number StateFL
# 10
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: