BETHANY ANNE MCKINNEY (NPI# 1114400520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114400520 |
| Entity Type | Individual |
| Full Name | BETHANY ANNE MCKINNEY |
| Credential | ARNP |
| Practice Address |
11245 State Route 525 Clinton WA 98236-8638 |
| Practice Telephone | 3603415252 |
| Practice Fax Number | 3603418727 |
| Mailing Telephone | 3603415252 |
| Mailing Fax Number | 3603418727 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP60859864 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP60859864 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11245 STATE ROUTE 525 |
| City | CLINTON |
| State | WA |
| Zip Code | 98236-8638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962555656 | Mariam Ross | Social Worker | 11245 State Route 525, Clinton, WA 98236-8638 | 2007-01-18 |
| 1992823595 | Whidbey Island Public Hospital District | General Acute Care Hospital | 11245 State Route 525, Clinton, WA 98236-8638 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432028 | Crystal Ogle | Midwife | 7149 Maxwelton Rd., Clinton, WA 98236 | 2014-02-11 |
| 1760782825 | Brittany Ann Olsen-boblitt | Speech-Language Pathologist | 6442 Central Ave Ste C, Clinton, WA 98236 | 2010-10-23 |
| 1124358874 | June Elizabeth Polasek | Counselor | 3268 Hilberg Ln, Clinton, WA 98236 | 2009-12-31 |
| 1154385433 | Vicki R Werve | Nurse Practitioner | 11245 Sr 525, Clinton, WA 98236 | 2006-04-14 |
| 1336117597 | Soas, LLC | Durable Medical Equipment & Medical Supplies | 8970 State Route 525, Clinton, WA 98236 | 2006-03-14 |
| 1154361590 | Whidbey Island Public Hospital District | Clinic/Center | 11245 Sr 525, Clinton, WA 98236 | 2006-06-07 |
| 1134345242 | Bradford S Weeks | Preventive Medicine | 6456 S Central Ave, Clinton, WA 98236-0740 | 2007-04-17 |
| 1588785612 | Kristin L Penn | Counselor | 4801 Deer Lake Rd Unit 101, Clinton, WA 98236-4005 | 2007-04-03 |
| 1124104484 | Andrew Shannon Neff | Psychologist | 4139 Beachmont Dr., Clinton, WA 98236-8411 | 2006-10-30 |
| 1114046539 | Dale B Christensen | Pharmacist | 4185 Redwood Dr, Clinton, WA 98236-8413 | 2007-03-28 |
| Find all providers in zip 98236 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326561333 | Rosemond Bartels | Nurse Practitioner | 9131 Piscataway Rd Ste 740, Clinton, MD 20735-2581 | 2017-07-21 |
| 1629530704 | Rosemond Dickson Bartels Crnp LLC | Nurse Practitioner | 9131 Piscataway Road, Suite 740, Clinton, MD 20735 | 2019-04-05 |
| 1205094885 | Mlz Health Care Associates, LLC | Nurse Practitioner | 17 Pepperbush Dr, Clinton, CT 06413-1168 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713348 | Terra Ann Mclain | Nurse Practitioner | 2803 Pilot Ln, Yakima, WA 98901-1022 | 2020-02-24 |
| 1437716032 | Julia Yang Chen | Nurse Practitioner | 16831 1st Ave W, Bothell, WA 98012-4961 | 2019-05-20 |
| 1699242651 | Patricia Fay Fitzhugh | Nurse Practitioner | 615 W 16th Ave, Spokane, WA 99203-2130 | 2018-10-29 |
| 1598240657 | Beibei Chen | Nurse Practitioner | 5801 223rd Pl Sw, Mountlake Terrace, WA 98043-3123 | 2018-09-25 |
| 1497203244 | Trina Koudelka | Nurse Practitioner | 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906 | 2016-09-21 |
| 1255791414 | Quynh-anh Phan | Nurse Practitioner | 801 Sw 150th St Ste 230, Burien, WA 98166-1855 | 2016-03-02 |
| 1467836056 | Horizon Health Foundation | Nurse Practitioner | 123 W. Cascade Way, Spokane, WA 99208 | 2015-07-14 |
| 1578955910 | Esateys Stuchiner | Nurse Practitioner | 19410 Ne 116th St, Brush Prairie, WA 98606-3002 | 2015-02-23 |
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
| Find all providers with the same taxonomy | ||||
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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.