Active NPI
Janice Marie McKenney, MD
- Family Medicine Physician
- Huron, SD
National Provider Identifier
1083616734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3733
- Practice address
- 111 4TH St SE
Huron, SD 57350-2509 - Phone
- (605) 352-8691
- Fax
- (605) 352-8704
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3733 | SD | Primary |
Addresses
Primary practice location
111 4TH St SE
Huron, SD 57350-2509
Mailing address
111 4TH St SE
Huron, SD 57350-2509
Phone (605) 352-8691
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A016 | Other | TRICARE | |
| 0002386 | Other | SD | WELLMAK BCBS |
| 5600270 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1083616734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502509",
"telephone_number": "605-352-8691",
"fax_number": "605-352-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502509",
"telephone_number": "605-352-8691",
"fax_number": "605-352-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNEY",
"first_name": "JANICE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "3733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMAK BCBS",
"identifier": "0002386",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5600270",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.