Maria McKenna, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

306553 Issued in NY

Practice address

942 Route 376
Suite 16
Wappingers Falls, NY 12590-6483

Phone

(845) 223-8080

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1982014106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MILLER DR",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335142",
            "telephone_number": "516-382-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 ROUTE 376",
            "address_2": "SUITE 16",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906483",
            "telephone_number": "845-223-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie McDonald-Jass, MACCCSLP
• Suray McDowell, RN
• Dawn McEwan, ANP-BC
• Brittany McGarry, MS, CCC-SLP
• Denise McGovern, FNP
• Kaitlyn (Kate) McMurry, MT-BC
• Erika Nicole Mead, CASAC-T
• Amanda Mecca
• Med-Trans Corporation
• Medical Diagnostic Imaging PLLC

• Adult Health Nurse Practitioner in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.