Organization Active NPI

365Medmckenna

  • Durable Medical Equipment & Medical Supplies
  • Boynton Beach, FL
National Provider Identifier
1134087562
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
365MEDMCKENNA
Practice address
2212 SE 3Rd St
Boynton Beach, FL 33435-7210
Phone
(341) 758-2097
NPI assigned
Jan 14, 2026
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Tisha McKenna
Title
President
Phone
(341) 758-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2212 SE 3Rd St
Boynton Beach, FL 33435-7210

Mailing address

2212 SE 3Rd St
Boynton Beach, FL 33435-7210
Phone (341) 758-2097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1134087562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 SE 3RD ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357210",
            "telephone_number": "341-758-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 SE 3RD ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357210",
            "telephone_number": "341-758-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "365MEDMCKENNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "341-758-2097"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.