Individual provider Active NPI

Renee Jannelle McKinney, ND, LMP, BCB, CKTP

  • Naturopath
  • Seattle, WA
National Provider Identifier
1447760038
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60839028 Issued in WA
Practice address
1629 Queen Anne Ave N Ste 104
Seattle, WA 98109-2833
Phone
(206) 659-0690
Fax
(833) 407-1346
NPI assigned
Oct 9, 2017
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60839028 WA Primary
Massage Therapist 225700000X MA60507963 WA

Addresses

Primary practice location

1629 Queen Anne Ave N Ste 104
Seattle, WA 98109-2833

Mailing address

12306 32ND Ave SE
Everett, WA 98208-6114
Phone (253) 561-6171

Other names 1

  • Dr. Renee Jannelle Plummer Former name

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
NT60839028WAMDNaturopath
MA60507963WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1447760038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 32ND AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086114",
            "telephone_number": "253-561-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 QUEEN ANNE AVE N STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092833",
            "telephone_number": "206-659-0690",
            "fax_number": "833-407-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "RENEE",
        "middle_name": "JANNELLE",
        "name_prefix": "Dr.",
        "credential": "ND, LMP, BCB, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60839028",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60507963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "PLUMMER",
            "middle_name": "JANNELLE",
            "prefix": "DR.",
            "credential": "ND, LMP, BCB, CKTP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.