Bobbie J. McKennon, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN1750152 Issued in FL

Practice address

200 Avenue F NE
Behavioral Health Division
Winter Haven, FL 33881-4131

Phone

(863) 294-7062

Fax

(863) 291-6755

NPI assigned

Jul 8, 2008

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1346403516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "address_2": "BEHAVIORAL HEALTH DIVISION",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-294-7062",
            "fax_number": "863-291-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "address_2": "BEHAVIORAL HEALTH DIVISION",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-294-7062",
            "fax_number": "863-291-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNON",
        "first_name": "BOBBIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1750152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Sue McDowell, APRN
• Demetria L McGee
• John J McGetrick, MD
• Dana McIntee
• Maureen McIntire
• Celica McKinnon
• Shawnese McLeod, APRN
• Jordan Alexes McMillen
• Stephen Louis McNally, APRN
• Steven Craig McNutt, D.D.S., P.A.

• Registered Nurse in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.