Christopher J McMenemy, M.S.N., C.R.N.P

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP011204 Issued in PA

Practice address

111 S 11TH St
Case MGMT. Office 8TH FL. Gibbon BLDG.
Philadelphia, PA 19107-4824

Phone

(215) 955-8131

NPI assigned

Jan 28, 2012

Sex

Male

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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1902178544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "CASE MGMT. OFFICE 8TH FL. GIBBON BLDG.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "CASE MGMT. OFFICE 8TH FL. GIBBON BLDG.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENEMY",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "M.S.N., C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-28",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP011204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McMenamin Family Shoprite Inc.
• Erin M McMenamin, MSN, CRNP
• Jamie Claire McMenamin, LPC
• Janet McMenamin, DPT
• Rosemary Theresa McMenamin, CRNP
• Christopher McMichael, CRNA
• Brittney McMillan
• Deborah McMillan
• Destyni McMillan
• Laura Joyce McMillen, DPT

• Acute Care Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.