Active NPI
Thomas McKenny, CRNA
- Certified Registered Nurse Anesthetist
- York, NE
National Provider Identifier
1568472629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100314
- Practice address
- 2222 N Lincoln Ave
York, NE 68467-1030 - Phone
- (402) 362-0486
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100314 | NE | Primary |
Addresses
Primary practice location
2222 N Lincoln Ave
York, NE 68467-1030
Mailing address
104 Ash Ave
York, NE 68467-4518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NE100314 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York General Hospital | Current | Accepting new patients | |
| Fillmore County Hospital | Current | Accepting new patients | |
| York General Hospital | Current | Accepting new patients | |
| Fillmore County Hospital | Current | Accepting new patients | |
| York General Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1900 F St
Geneva, NE 68361
Phone (402) 759-3167
300 N Columbia Ave
Seward, NE 68434
Phone (402) 643-2971
2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Geneva, NE
- NPI 1508956467
-
- Critical Access Hospital
- Geneva, NE
- NPI 1689769382
-
- Critical Access Hospital
- York, NE
- NPI 1588764898
-
- Emergency Medical Services (Emergency Medicine) Physician
- York, NE
- NPI 1982704250
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- York, NE
- NPI 1851491153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568472629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ASH AVE",
"city": "YORK",
"state": "NE",
"postal_code": "684674518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N LINCOLN AVE",
"city": "YORK",
"state": "NE",
"postal_code": "684671030",
"telephone_number": "402-362-0486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNY",
"first_name": "THOMAS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "100314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NE100314",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, NE
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.