Individual provider Active NPI

Catherine Sue McKenna, RN., BSN., FNP-BC.

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1811231889
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235771 Issued in TX
Practice address
400 N Garfield St
Suite 271
Midland, TX 79701-5904
Phone
(432) 685-0633
Fax
(432) 685-1043
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235771 TX Primary

Addresses

Primary practice location

400 N Garfield St
Suite 271
Midland, TX 79701-5904

Mailing address

400 N Garfield St
Suite 271
Midland, TX 79701-5904
Phone (432) 685-0633

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)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1811231889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N GARFIELD ST",
            "address_2": "SUITE 271",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015904",
            "telephone_number": "432-685-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N GARFIELD ST",
            "address_2": "SUITE 271",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015904",
            "telephone_number": "432-685-0633",
            "fax_number": "432-685-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CATHERINE",
        "middle_name": "SUE",
        "credential": "RN., BSN., FNP-BC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "235771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

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