RACHEL LEE MCKENNA (NPI# 1588893614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588893614 |
| Entity Type | Individual |
| Full Name | RACHEL LEE MCKENNA |
| Credential | MD |
| Practice Address |
6752 29th St S St Petersburg FL 33712-5516 |
| Practice Telephone | 8889844456 |
| Mailing Telephone | (888) 984-4456 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME118618 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2010031656 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2010031656 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME118618 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Central Ave Ste 800, St Petersburg, FL 337013984 | 3055173057 | 3055173057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225528763 | Rachel Mckenna | Speech-Language Pathologist | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-05-10 |
| 1356699797 | Rachel Ann Mckenna | Student in an Organized Health Care Education/Training Program | 2336 Andrews Ave, Bronx, NY 10468-6001 | 2012-08-15 |
| 1447345244 | Rachel A Mckenna | Nurse Practitioner | 3401 Civic Center Blvd, Wood Building, 1st Floor, Philadelphia, PA 19104-4319 | 2006-10-04 |
| Street Address |
6752 29TH ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215121116 | Jennifer Jane Gould | Psychiatry & Neurology | 1101 9th Ave N, St Petersburg, FL 33705-1271 | 2007-09-04 |
| 1861626939 | Reena Thomas | Psychiatry & Neurology | 880 6th St S Ste 420, St Petersburg, FL 33701-4825 | 2009-05-05 |
| 1124079108 | Jeffrey Lee Alvaro | Psychiatry & Neurology | 880 6th St S, Suite 110, St Petersburg, FL 33701-4827 | 2006-05-13 |
| 1073563490 | Mark Allen Cavitt | Psychiatry & Neurology | 880 6th St S, Suite 110, St Petersburg, FL 33701-4827 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.