Active NPI
Audrey A McKernan, R.D.
- Registered Dietitian
- Naples, FL
National Provider Identifier
1891925681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5402
- Practice address
- 2450 Goodlette-Frank Rd N Ste 101
Naples, FL 34103-4595 - Phone
- (239) 624-8470
- Fax
- (239) 624-9073
- NPI assigned
- Jul 15, 2009
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND5402 | FL | Primary |
Addresses
Primary practice location
2450 Goodlette-Frank Rd N Ste 101
Naples, FL 34103-4595
Mailing address
2450 Goodlette-Frank Rd N Ste 101
Naples, FL 34103-4595
Phone (239) 624-8470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.25 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1891925681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 GOODLETTE-FRANK RD N STE 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034595",
"telephone_number": "239-624-8470",
"fax_number": "239-624-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 GOODLETTE-FRANK RD N STE 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034595",
"telephone_number": "239-624-8470",
"fax_number": "239-624-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKERNAN",
"first_name": "AUDREY",
"middle_name": "A",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.