REBECCA M MCKANNA


Address: 1600 116th Ave Ne, Suite 102, Bellevue, WA 98004-3014
Phone: 4254545311

REBECCA M MCKANNA (NPI# 1336132307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336132307
Entity Type Individual
Full Name REBECCA M MCKANNA
Credential NP
Practice Address 1600 116th Ave Ne
Suite 102
Bellevue
WA 98004-3014
Mailing Address 148 East Ave
Suite3h
Norwalk
CT 06851-5721
Practice Telephone 4254545311
Practice Fax Number 4254548188
Mailing Telephone 2033546100
Mailing Fax Number 2033546182
Enumeration Date 2005-08-25
Last Update Date 2010-10-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 254985 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0701700 05

Office Location

Street Address 1600 116TH AVE NE
SUITE 102
City BELLEVUE
State WA
Zip Code 98004-3014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447242763 David B Ferrin Legal Medicine 1600 116th Ave Ne, Suite 206, Bellevue, WA 98004-3014 2005-08-22
1467873885 Natalia Dvorak, Md, Pllc Obstetrics & Gynecology 1600 116th Ave Ne, Suite 104, Bellevue, WA 98004-3014 2014-01-03
1629343926 Rodney J Johnson, Md, Ps, Inc Clinic/Center 1600 116th Ave Ne, Suite 302, Bellevue, WA 98004-3014 2012-03-20
1235416645 Katharine Te Md Pllc Obstetrics & Gynecology 1600 116th Ave Ne, #104, Bellevue, WA 98004-3055 2011-11-14
1033416672 Leslie Elaine Smith Nurse Practitioner 1600 116th Ave Ne, Suite #102, Bellevue, WA 98004-3014 2011-02-17
1255652434 Eastside Internal Medicine & Cardiology David B Ferrin Md Internal Medicine 1600 116th Ave Ne, Suite 206, Bellevue, WA 98004-3014 2010-06-22
1184860363 Natalia Allison Dvorak Obstetrics & Gynecology 1600 116th Ave Ne, #104, Bellevue, WA 98004-3014 2008-12-18
1083881908 Erik S Zenger Physician Assistant 1600 116th Ave Ne, Suite 306, Bellevue, WA 98004-3014 2008-05-09
1144408915 Puget Sound Anesthesia Service, Pllc Nurse Anesthetist, Certified Registered 1600 116th Ave Ne, Bellevue, WA 98004-3014 2008-02-04
1821272469 Northwest Rehabilitation Associates, Inc., Ps Physical Medicine & Rehabilitation 1600 116th Ave Ne, Suite 202, Bellevue, WA 98004-3014 2007-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073111902 Hailey Marie Baker Nurse Practitioner 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 2020-10-13
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
1841598448 Lifecare Family Medicine of Bellevue, PC Nurse Practitioner 2510 Bellevue Medical Center Dr # 145a, Bellevue, NE 68123-1520 2011-03-05
1194868406 Sherry Aanstad Nurse Practitioner 117 Ash St, Bellevue, ID 83313-5226 2007-02-15
1245394485 Christopher Craig Nurse Practitioner 16320 Se 15th St, Bellevue, WA 98008-5102 2006-12-21
1679634588 Douglas R. Penington Nurse Practitioner 12717 S 28th Ave, Bellevue, NE 68123-3232 2006-12-13
1023029394 Kathryn S Deane Nurse Practitioner 1715 114th Ave Se, Suite 110, Bellevue, WA 98004-6945 2006-08-11
1245288869 Lynne B Vigesaa Nurse Practitioner 1260 116th Avenue Ne, Suite 100, Bellevue, WA 98004 2006-05-05
1518934199 Marcia Smith Gordon Nurse Practitioner 1632 116th Ave Ne, Suite B, Bellevue, WA 98004-3035 2006-03-02
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City BELLEVUE
Zip Code 98004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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