{"npi":"1144589086","type":"NPI-1","status":"active","name":{"display":"Dr. Wayne Mackenzie Nurse Practitioner","other":[],"first":"WAYNE","last":"MACKENZIE","credential":"NURSE PRACTITIONER"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"OR","license":"201250163NP"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"AZ","license":"AP4913"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"TX","license":"707607"}]},"addresses":[{"purpose":"LOCATION","street_1":"319 N LITCHFIELD RD STE 105","city":"GOODYEAR","state":"AZ","postal_code":"853381256","country_code":"US","phone":"6232241162","fax":"8883463899"},{"purpose":"MAILING","street_1":"319 N LITCHFIELD RD STE 105","city":"GOODYEAR","state":"AZ","postal_code":"853381256","country_code":"US","phone":"6232241162","fax":"8883463899"}],"license":{"state":"AZ","number":"AP4913"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"QXIPQ0000098776","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"804045","state":"AZ","issuer":"AHCCCS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130906000484","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"AZ","pac_id":"5092958215"}]},"enumeration_date":"2012-05-13","last_updated":"2024-07-12","_meta":{"source":"NPPES","snapshot_date":"2024-07-12","doc_url":"https://findmynpi.com/api"}}