Kena McClure

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18716 Issued in AZ

Practice address

11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092

Phone

(480) 285-2180

NPI assigned

Jun 20, 2024

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susan del Sordi Staats, DO PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1649776105
  NPD
• Premier Pain & Wellness

  • Pain Medicine Physician
  • Peoria, AZ
  • NPI 1457035370
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1467296079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 E WINDSOR AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "18716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne P McCloskey, CNM
• Tahani Pascual McCloskey, R. N., P.N.P., MSN.
• Heather McClure
• Jennifer McClure, LAMFT
• Katherine McClure, DO
• Lindsay Ann Rose McClure, PA
• Stacey Dale McClure, M.D.
• Sharolyn Liane McClurg, RN, CNP
• Andrea McCluskey, LMSW
• Brian Padraic McColgan, DO

• Massage Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.