Robert J. McKennett, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

L1-0034455 / L6-0A00 Issued in DE

Practice address

640 S State St
Dept of Anes
Dover, DE 19901-3530

Phone

(302) 744-7088

Fax

(302) 744-6407

NPI assigned

Jun 25, 2005

Last updated

Jan 31, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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

• Bayhealth Medical Center, Inc

  dba Bayhealth Physicians

  • Colon & Rectal Surgery Physician
  • Dover, DE
  • NPI 1285809509
  NPD (past)
• Alleghany County Memorial Hospital Inc

  dba Alleghany Health

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1356318968
  NPD (past)
• Alleghany Memorial Hospital

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1992838593
  NPD (past)

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1609872480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET, POB 3RD FLOOR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "DEPT OF ANES",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7088",
            "fax_number": "302-744-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013530",
            "country_code": "US",
            "telephone_number": "302-744-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNETT",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L1-0034455 / L6-0A00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGlotten Entities, LLC (Adoration Homestead, LLC)
• Kate McGraw, PHD
• Leesa McIlwain, PHARMD
• Colleen Noel McIntosh, MS
• Ashley McKenna, DPT
• Anna McLaughlin, LCSW
• Erin Delia McLaughlin, MS ATC
• Michelle T McManus, CNM
• Jacqueline Sonya McMichael, PH.D.
• Ebony McNeil

• Certified Registered Nurse Anesthetist in Dover, DE
• Providers in Dover, DE by specialty
• Certified Registered Nurse Anesthetist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.