Angela McKenna

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2738 Issued in ME

Practice address

12 Gedney St
Augusta, ME 04330-4440

Phone

(207) 626-2464

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Augusta School Based Health Center

  • Student Health Clinic/Center
  • Augusta, ME
  • NPI 1497054191
  NPD (past)

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1770910358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PLEASANT HILL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308231",
            "telephone_number": "207-626-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GEDNEY ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304440",
            "telephone_number": "207-626-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige N.C. McInerney, D.O.
• Angela Rae McIntosh, LCSW
• Katherine Anne McKay, MD
• Cameron Craig McKee, MD
• Nathan J McKellips, PHARMD
• Angela McKenney, LCSW, LADC, MHRTC
• Jennifer McKenzie, NP
• Janelle McKinnon, RDH
• Mindy McLain
• Esther Marie McLaughlin, CNA

• Occupational Therapist in Augusta, ME
• Providers in Augusta, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.