MRS. SUSAN CHRISTOS MCKENNEY (NPI# 1811978653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811978653 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN CHRISTOS MCKENNEY |
| Credential | FNP |
| Practice Address |
712 Fleming St Hendersonville NC 28791-3502 |
| Mailing Address |
Po Box 27877 Salt Lake City UT 84127-0877 |
| Practice Telephone | 8286947630 |
| Practice Fax Number | 8286947631 |
| Mailing Telephone | 9199668279 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0050-00028 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0050-00028 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 2592348B | 01 |
| NC | MEDICARE/UNITED GOVT SERV | S66124 | 01 |
| NC | TAX ID # | 560794933 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 611 5th Ave W Ste B, Hendersonville, NC 287394296 | 8286983301 | 8286987133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902986417 | Susan Ann Mckenney | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2006-10-17 |
| Street Address |
712 FLEMING ST |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28791-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098631 | James Ivey Bright Jr. | Clinical Neuropsychologist | 712 Fleming St, Suite 2, Hendersonville, NC 28791-3526 | 2005-10-24 |
| 1770800328 | Andrew David Crocker | Internal Medicine | 712 Fleming St, Hendersonville, NC 28791 | 2010-04-22 |
| 1952567166 | Cara Shoshana Douglass | Internal Medicine | 712 Fleming St, Hendersonville, NC 28791 | 2008-08-07 |
| 1699789248 | George Robert Murphy | Internal Medicine | 712 Fleming St, Hendersonville, NC 28791 | 2006-07-28 |
| 1225098023 | Mary Martha Kilfoil | Internal Medicine | 712 Fleming St, Hendersonville, NC 28791 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064085 | Daniel Mick | Chiropractor | 1721 Brevard Rd., Hendersonville, NC 28791 | 2016-03-02 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1891029708 | Sara Brady Fraboni | Pharmacist | 1148 Asheville Highway, Asheville, NC 28791 | 2009-09-24 |
| 1578730362 | Edward Frederick Block Iv | Acupuncturist | 2024 Asheville Hwy, Suite H, Hendersonville, NC 28791 | 2008-05-12 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1184836223 | Fred Hamilton Rindge Iv | Chiropractor | 619 Oakland St, Hendersonville, NC 28791 | 2007-05-03 |
| 1912022989 | Laurel Park Medical Centre Pharmacy | Pharmacist | 1881 Pisgah Dr., Hendersonville, NC 28791 | 2007-03-20 |
| 1538236153 | Elizabeth N Lima | Psychologist | 709 North Justice Street, Suite B, Hendersonville, NC 28791 | 2006-11-29 |
| 1144394123 | Kenneth L Merritt Jr. | Dentist | 687 B Blythe St Ct, Hendersonville, NC 28791 | 2006-11-20 |
| Find all providers in zip 28791 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756824 | Deishia Warren | Nurse Practitioner | 245 Indian Lake Blvd Apt E204, Hendersonville, TN 37075-6326 | 2020-09-28 |
| 1093320715 | Tajsier Hughes | Nurse Practitioner | 196 Breakwater Dr, Hendersonville, TN 37075-5679 | 2020-09-10 |
| 1881206282 | Alex John Morsey | Nurse Practitioner | 100 Indian Lake Rd, Hendersonville, TN 37075-3821 | 2020-08-18 |
| 1063023729 | Courtney Frensley | Nurse Practitioner | 102 Indian Lake Rd, Hendersonville, TN 37075-3821 | 2020-08-14 |
| 1588295471 | Heather Kristen Truelove | Nurse Practitioner | 109 Meadow Lake Dr, Hendersonville, TN 37075-5533 | 2020-01-29 |
| 1518506369 | Caroline Mauldin | Nurse Practitioner | 353 New Shackle Island Rd Ste 140c, Hendersonville, TN 37075-2366 | 2019-12-26 |
| 1760959423 | Windy Michelle Rhoton | Nurse Practitioner | 127 Herons Nest Ln, Hendersonville, TN 37075-4760 | 2018-10-30 |
| 1871084442 | Charly Lynn Taylor | Nurse Practitioner | 264 New Shackle Island Rd Ste 107, Hendersonville, TN 37075-2481 | 2018-05-19 |
| 1518457647 | Nicole Dyanne Mumford | Nurse Practitioner | 109 Hazel Path Ste 7, Hendersonville, TN 37075-3888 | 2018-05-14 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 28791 |
Please comment or provide details below to improve the information on MRS. SUSAN CHRISTOS MCKENNEY.
| 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.