Active NPI
Noreen C McKenna, FNP
- Family Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1407975147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201001
- Practice address
- 601 S College Rd
Wilmington, NC 28403-3201 - Phone
- (910) 962-3280
- Fax
- (910) 962-4130
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201001 | NC | Primary |
Addresses
Primary practice location
601 S College Rd
Wilmington, NC 28403-3201
Mailing address
2303 Charles Paine Dr
Wilmington, NC 28412-7195
Phone (910) 790-5834
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201001 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407975147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 CHARLES PAINE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284127195",
"telephone_number": "910-790-5834",
"fax_number": "910-799-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033201",
"telephone_number": "910-962-3280",
"fax_number": "910-962-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "NOREEN",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.