CHARLES JAMES MCKENNA (NPI# 1679110332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679110332 |
Entity Type | Individual |
Full Name | CHARLES JAMES MCKENNA |
Practice Address |
6124 W Parker Rd Ste 530 Plano TX 75093-8140 |
Mailing Address |
8904 Quarry Ridge Trail Keller TX 76244 |
Practice Telephone | 2147781075 |
Mailing Telephone | 3618153393 |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP141458 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6124 W PARKER RD STE 530 |
City | PLANO |
State | TX |
Zip Code | 75093-8140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790968105 | Courtney G. Trylovich, M.d., P.a. | Obstetrics & Gynecology | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2007-12-07 |
1376158279 | Katelyn Weatherford | Registered Nurse | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2020-09-09 |
1598398505 | Melissa Horner | Nurse Practitioner | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2020-02-18 |
1831741271 | Eivy Tatiana Herrera | Physician Assistant | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2019-07-16 |
1760034326 | Xingjia Yang | Physician Assistant | 6124 W Parker Rd Ste 530, Plano, TX 75093 | 2019-07-14 |
1124313283 | Arhaanth Dharam Reddy | Internal Medicine | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2011-06-16 |
1326367954 | Nicole Chen | Nurse Practitioner | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2010-05-21 |
1609108919 | Wen Tung | Physician Assistant | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2010-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
1194345850 | Adrienne Camille Greeney | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2020-04-23 |
1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
1447715503 | Shabnam Gettu Gill | Nurse Practitioner | 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 | 2019-02-04 |
1538636444 | Jessica Lee Whitis | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2018-10-29 |
1790251585 | Laura Hayes | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2018-10-18 |
1760957088 | Baneen Fatima Manekia | Nurse Practitioner | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2018-10-13 |
1831672088 | Preethy Sara Oommen | Nurse Practitioner | 6124 W Parker Rd Ste 536, Plano, TX 75093-8137 | 2018-09-13 |
1902382716 | Heidi Maria Sewell | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2018-07-15 |
Find all providers in PLANO |
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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.