Active NPI
Ricki Lee McKenna, CN
- Nutrition Education Nutritionist
- Houston, TX
National Provider Identifier
1669613147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 607003
- Practice address
- 10811 Richmond Ave
Ste 77
Houston, TX 77042-6708 - Phone
- (970) 618-7607
- NPI assigned
- Mar 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 607003 | CO | Primary |
Addresses
Primary practice location
10811 Richmond Ave
Ste 77
Houston, TX 77042-6708
Mailing address
2550 Gray Falls Drive
Suite 175
Houston, TX 77077
Phone (970) 618-7607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 607003 | CO | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1669613147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 GRAY FALLS DRIVE",
"address_2": "SUITE 175",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77077",
"telephone_number": "970-618-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 RICHMOND AVE",
"address_2": "STE 77",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770426708",
"telephone_number": "970-618-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "RICKI",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-13",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CO",
"license": "607003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.