Individual provider Active NPI

Susan Jean McKenna, RRT

  • Educational Registered Respiratory Therapist
  • Greenlawn, NY
National Provider Identifier
1801140314
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Educational Registered Respiratory TherapistTaxonomy code 2279E1000X
Practice address
29 Sinclair Dr
Greenlawn, NY 11740-2620
Phone
(516) 444-2742
NPI assigned
Nov 6, 2012
Last updated
Jun 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 007106-1 NY
Critical Care Registered Respiratory Therapist 2279C0205X 007106 NY
Emergency Care Registered Respiratory Therapist 2279E0002X 007106 NY
Educational Registered Respiratory Therapist 2279E1000X NU Primary
Geriatric Care Registered Respiratory Therapist 2279G0305X 007106 NY
General Care Registered Respiratory Therapist 2279G1100X 007106 NY
Home Health Registered Respiratory Therapist 2279H0200X 007106 NY
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X 007106 NY
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X NU
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X 007106 NY
Palliative/Hospice Registered Respiratory Therapist 2279P3800X 007106 NY
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X 007106 NY
Patient Transport Registered Respiratory Therapist 2279P4000X NU
SNF/Subacute Care Registered Respiratory Therapist 2279S1500X 007106 NY

Addresses

Primary practice location

29 Sinclair Dr
Greenlawn, NY 11740-2620

Mailing address

29 Sinclair Dr
Greenlawn, NY 11740-2620
Phone (516) 444-2742

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
007106NYMDCommunity Health Worker
007106-1NYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Extra Care Services LLC Respiratory Therapist, Registered Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1801140314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SINCLAIR DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402620",
            "telephone_number": "516-444-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SINCLAIR DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402620",
            "telephone_number": "516-444-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NY",
            "license": "007106-1",
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "NY",
            "license": "007106",
            "primary": false
        },
        {
            "code": "2279P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "NY",
            "license": "007106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenlawn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.