Laurie Ann McKenna, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33-331707 Issued in NY

Practice address

43 S Western Ave
Glens Falls, NY 12801-3313

Phone

(518) 223-0812

Fax

(518) 223-0813

NPI assigned

May 2, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 4, 2016 through Mar 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Douglas C. Cline, M.D., P.C.

  • Family Medicine Physician
  • Queensbury, NY
  • NPI 1487972923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1013209543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S WESTERN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013313",
            "telephone_number": "518-223-0812",
            "fax_number": "518-223-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 S WESTERN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013313",
            "telephone_number": "518-223-0812",
            "fax_number": "518-223-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33-331707",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40-401097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elisabeth McGilpin, LMHC
• Christine Margaret McGlauflin, M.A., CCC/SLP
• Marie McGowan
• Jenna Lynne McGreevy, PHARMD
• Molly Frances McGuiggan, MD
• Frances McKinney, LPN
• Jason McLaughlin, CASAC-T
• Leo C McLaughlin, RPH
• Jean M McMahon
• Jacqueline Helen McMurry, PHYSICIAN ASSISTANT

• Family Nurse Practitioner in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.