Individual provider Active NPI

Rachel Whitney McKenna, M.D.

  • Pediatrics Physician
  • Glen Allen, VA
National Provider Identifier
1184915217
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101275029 Issued in VA
Practice address
4687 Pouncey Tract Rd
Glen Allen, VA 23059-5802
Phone
(804) 422-5437
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0101275029 VA Primary

Addresses

Primary practice location

4687 Pouncey Tract Rd
Glen Allen, VA 23059-5802

Mailing address

415 N Mulberry St
Richmond, VA 23220-3319
Phone (801) 907-1415

Other practice location 1

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 662-1000

Other practice location 2

20 York St # T-209
Yale-New Haven Hospital
New Haven, CT 06510-3220
Phone (203) 688-2259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170720000687 UT Practitioner - Pediatric Medicine 1052631041 Reassigns benefits to 2 organizations
I20221013001440 VA Practitioner - Emergency Medicine 1052631041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101275029VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services Single Specialty CurrentSince Aug 1, 2017 Accepting new patients
University of Utah Pediatric Services CurrentSince Aug 1, 2017 Accepting new patients
University of Utah Pediatric Services Single Specialty Current Accepting new patients
University of Utah Pediatric Acuity Care Pediatric Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
University of Utah Pediatric Acuity Care Single Specialty Current Accepting new patients
University of Utah Pediatric Acuity Care CurrentSince Aug 1, 2017 Accepting new patients
Emergency Coverage, LLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Kidmed Inc. Single Specialty Past Accepting new patients
Kidmed Southside PLC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

127 S 500 E
Ste 600
Slc, UT 84102

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1184915217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MULBERRY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203319",
            "telephone_number": "801-907-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 POUNCEY TRACT RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595802",
            "telephone_number": "804-422-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Mario Capecchi Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841131103",
            "country_code": "US",
            "telephone_number": "801-662-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St # T-209",
            "address_2": "Yale-New Haven Hospital",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-2259",
            "fax_number": "203-688-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "RACHEL",
        "middle_name": "WHITNEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101275029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.