Provider Demographics
NPI:1508293234
Name:BIGGS MCKENZIE, CAROL JOY (RN MS)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JOY
Last Name:BIGGS MCKENZIE
Suffix:
Gender:F
Credentials:RN MS
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:JOY
Other - Last Name:BIGGS-OWENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:1400 NE 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6034
Mailing Address - Country:US
Mailing Address - Phone:866-599-2562
Mailing Address - Fax:866-599-2563
Practice Address - Street 1:1400 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6034
Practice Address - Country:US
Practice Address - Phone:305-301-0826
Practice Address - Fax:866-599-2563
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2989182101YM0800X, 163WA0400X, 163WC1500X, 163WP0807X, 163WP0809X, 171M00000X, 364SP0807X, 364SP0809X
FL019612500171M00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Multi-Specialty
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019612500Medicaid
FL021493300Medicaid
FLGG920AMedicare Oscar/Certification