Active NPI
Casey McKenna, M.S., C.G.C.
- Genetic Counselor (M.S.)
- St Petersburg, FL
National Provider Identifier
1851837587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 360 Central Ave
Suite 1230
St Petersburg, FL 33701-3857 - Phone
- (800) 975-4819
- Fax
- (800) 930-0961
- NPI assigned
- Jan 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
360 Central Ave
Suite 1230
St Petersburg, FL 33701-3857
Mailing address
130 Buckingham Cir
Charlottesville, VA 22903-2908
Phone (800) 975-4819
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1851837587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BUCKINGHAM CIR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032908",
"telephone_number": "800-975-4819",
"fax_number": "800-930-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 CENTRAL AVE",
"address_2": "SUITE 1230",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013857",
"telephone_number": "800-975-4819",
"fax_number": "800-930-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "CASEY",
"credential": "M.S., C.G.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.