Joanne M McKenna, APRN BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

17379 Issued in RI

Practice address

58 E Main Rd
Middletown, RI 02842-4988

Phone

(401) 608-3322

Fax

(401) 608-3323

NPI assigned

Dec 29, 2005

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

Other names 1

• Ms. Joanne M Neri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1255318341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD STONE CHURCH RD",
            "city": "LITTLE COMPTON",
            "state": "RI",
            "postal_code": "028371071",
            "telephone_number": "401-608-3322",
            "fax_number": "401-608-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424988",
            "telephone_number": "401-608-3322",
            "fax_number": "401-608-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "185839",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "17379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "NERI",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "APRN BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle McCombe, LICSW
• Cheryl A McCray, PRINCIPAL COUNSELOR
• Gail P McElroy, LICSW
• Joan M McHugh
• James Francis McKenna, M.ED, LADC1
• Jillian McLeish, MSW
• Sarah McNeill, OTR/L
• Ryan McNiece
• Mallory McPheron, DPT
• Jade Ann Medeiros, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Middletown, RI
• Providers in Middletown, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.