KEARSTON MCGINNIS (NPI# 1043774375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043774375 |
Entity Type | Individual |
Full Name | KEARSTON MCGINNIS |
Practice Address |
19104 Holke Rd Independence MO 64057-1402 |
Practice Telephone | 8168019849 |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
19104 HOLKE RD |
City | INDEPENDENCE |
State | MO |
Zip Code | 64057-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
Find all providers in zip 64057 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794025 | Linda M Widzinski | Student in an Organized Health Care Education/Training Program | 6490 Willow Dr, Independence, OH 44131-3226 | 2020-09-13 |
1013539659 | Mary Catherine Sammon | Student in an Organized Health Care Education/Training Program | 217 E Meadowlawn Blvd, Independence, OH 44131-2705 | 2020-05-16 |
1699394098 | Larry Ethan Milton | Student in an Organized Health Care Education/Training Program | 6664 Brecksville Rd, Independence, OH 44131-4841 | 2020-04-15 |
1023647617 | Emilie Seitz | Student in an Organized Health Care Education/Training Program | 6692 Renwood Rd, Independence, OH 44131-5317 | 2020-04-06 |
1457987703 | Cynthia Lauren Wright | Student in an Organized Health Care Education/Training Program | 4710 S Cedar Crest Ct Ste 200, Independence, MO 64055-6993 | 2020-03-18 |
1942764840 | Kelsey Ann Reid | Student in an Organized Health Care Education/Training Program | 1419 W Scott Pl, Independence, MO 64052-3134 | 2019-01-24 |
1679992721 | Alexander Stamos | Student in an Organized Health Care Education/Training Program | 3320 Saddle Ridge Ct, Independence, MO 64057-3407 | 2014-04-15 |
1760083844 | Andrew Regal | Student in an Organized Health Care Education/Training Program | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 | 2020-11-04 |
1902411291 | Rachel Sabrina Widzinski | Student in an Organized Health Care Education/Training Program | 6490 Willow Dr, Independence, OH 44131-3226 | 2020-09-13 |
1700434933 | Hana Rose Haselbusch | Student in an Organized Health Care Education/Training Program | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2019-08-30 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64057 |
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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.