Timothy D. McKenna, B.A.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

480 Galletti Wy
8B & 8C
Sparks, NV 89436

Phone

(775) 324-1490

Fax

(775) 324-1541

NPI assigned

Aug 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1750661559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WY",
            "address_2": "8B & 8C",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89436",
            "telephone_number": "775-324-1490",
            "fax_number": "775-324-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WY",
            "address_2": "8B & 8C",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89436",
            "telephone_number": "775-324-1490",
            "fax_number": "775-324-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "TIMOTHY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison McHenry
• Aaron McJones
• Trellissa McKay
• Courtney McKenna
• Sharee McKenna
• Jason S McKenzie, DO
• Karen Ann McKinney, LSW, CADC-I
• Mikelynn Rose McKinney
• Sandy McKinnon
• Valoree Michelle McLachlan

• Rehabilitation Practitioner in Sparks, NV
• Providers in Sparks, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.