Charles James McKenna

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP141458 Issued in TX

Practice address

6124 W Parker Rd Ste 530
Plano, TX 75093-8140

Phone

(214) 778-1075

NPI assigned

Dec 2, 2019

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.mckenna.p1@direct.swpulmonary.nextgenshare.com

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.

• Advanced Wound Care of North Texas PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1366908600
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1679110332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 QUARRY RIDGE TRAIL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "361-815-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 530",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938140",
            "telephone_number": "214-778-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CHARLES",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP141458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy K McKay Gehan, MA CCC-SLP
• Beverly K McKee, LPC
• Laura McKee, MA, LPC
• Mary Kate McKee, PA
• Peter McKee, PHARMD
• Teresa E McKenna, M.S.,CCC-SLP
• Aine P McKenzie, MD
• Kecia McKenzie, DPT
• Marcus McKenzie, MD
• Kyla McKevitt, RBT

• Acute Care Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.