Individual provider Active NPI

Drew Elizabeth McKenna, AU.D.

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1720686397
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81307 Issued in TX
Practice address
8410 Datapoint Dr
San Antonio, TX 78229-3220
Phone
(210) 870-6479
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 81307 TX Primary

Addresses

Primary practice location

8410 Datapoint Dr
San Antonio, TX 78229-3220

Mailing address

5202 Texana Dr Apt 215
San Antonio, TX 78249-3773
Phone (219) 241-5557

Other identifiers 1

IdentifierTypeStateIssuer
81307OtherTXTEXAS AUDIOLOGY LICENSE

Other names 1

  • Drew Elizabeth McKenna Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Drew.McKenna@va.gov Direct

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

LicenseStateTypeSpecialty
81307TXMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: drew.mckenna@va.gov

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1720686397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 TEXANA DR APT 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493773",
            "telephone_number": "219-241-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293220",
            "telephone_number": "210-870-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "DREW",
        "middle_name": "ELIZABETH",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS AUDIOLOGY LICENSE",
            "identifier": "81307",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drew.McKenna@va.gov",
            "affiliation": "N",
            "endpointDescription": "secure encrypted govt email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8410 Datapoint Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "MCKENNA",
            "middle_name": "ELIZABETH",
            "credential": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.