Individual provider Active NPI

Danielle Raenae McKay, RBSW

  • Case Manager/Care Coordinator
  • Pendleton, OR
National Provider Identifier
1255670105
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
R5716 Issued in OR
Practice address
3220 NE Riverside Ave
Pendleton, OR 97801-3428
Phone
(541) 379-0537
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X R5716 OR Primary

Addresses

Primary practice location

3220 NE Riverside Ave
Pendleton, OR 97801-3428

Mailing address

3220 NE Riverside Ave
Pendleton, OR 97801-3428
Phone (541) 379-0537

Other identifiers 1

IdentifierTypeStateIssuer
R5716OtherORREGISTERED BACHELOR SOCIAL WORKER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R5716ORMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1255670105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 NE RIVERSIDE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013428",
            "telephone_number": "541-379-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 NE RIVERSIDE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013428",
            "telephone_number": "541-379-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "DANIELLE",
        "middle_name": "RAENAE",
        "credential": "RBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "R5716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BACHELOR SOCIAL WORKER",
            "identifier": "R5716",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.