Active NPI
Renee Jannelle McKinney, ND, LMP, BCB, CKTP
- Naturopath
- Seattle, WA
National Provider Identifier
1447760038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60839028
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| NT60839028 | WA | MD | Naturopath |
| MA60507963 | WA | MD | Massage 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.