{
"Npi": {
"NPI": "1710871322",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCKENZIE",
"FirstName": "DELIA",
"MiddleName": "JUDY",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "REGISTERED NURSE",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCKENZIE",
"OtherFirstName": "DELIA",
"OtherMiddleName": "JUDY",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "DELIA MCKENZIE RN",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "932 E 55TH ST FL 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKLYN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11234-1708",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-731-2225",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "932 E 55TH ST FL 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROOKLYN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11234-1708",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "347-731-2225",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/06/2025",
"LastUpdateDate": "06/06/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "163WX0800X",
"TaxonomyName": "Orthopedic Registered Nurse",
"LicenseNumber": "605094",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}