Carla June McKean, RN 00080056

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

00080056 Issued in WA

Practice address

7656 Stonecrest Rd NE
Moses Lake, WA 98837-8957

Phone

(509) 750-4946

Fax

(509) 764-6019

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1629733795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 STONECREST RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378957",
            "telephone_number": "509-750-4946",
            "fax_number": "509-764-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 STONECREST RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378957",
            "telephone_number": "509-750-4946",
            "fax_number": "509-764-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "CARLA",
        "middle_name": "JUNE",
        "credential": "RN 00080056",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "00080056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Andrea McDonald, REGISTERED NURSE
• Elizabeth McGraw, PA-C
• Ronald McHargue, DDS
• Breanne McIntyre, RDN
• Kimberly L McKay, CRNA
• Sonia McKee, LICSW, SUDP
• Whitney McKenzie, BA
• Anakin McKnight
• Lisa McKnight
• Rylee McKnight

• Registered Nurse in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.