Kenneth James McNeese, RRT

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

A1856 Issued in NC

Practice address

400 Old Smithfield Rd
Goldsboro, NC 27530-8464

Phone

(919) 581-4506

NPI assigned

Nov 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1457532780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WORTH DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349528",
            "telephone_number": "910-249-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD SMITHFIELD RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308464",
            "telephone_number": "919-581-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEESE",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NC",
            "license": "A1856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "012AG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "561924070",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7492714",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah McKenzie
• Shaquithia Monique McKinney, MSN, PMHNP-BC
• Andrew McKnight, PA-C
• Tara McLamb, N.P.
• Lauraysha Leigh McMillan Ajiboye, FNP-BC
• McNeills Home Care 1 LLC
• Mdfamily Medical Group
• Meadows Lutcavage Smith Vinton Fidler & Long DDS PA
• Medical Care Inc
• Medical Care Inc

• All providers in Goldsboro, NC
• Certified Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.