DR. KIMBERLY COVELL MCINNIS (NPI# 1326468646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326468646 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY COVELL MCINNIS |
| Credential | OTD, MS, OTR/L |
| Practice Address |
5649 Meadowcrest St Roanoke VA 24019-4833 |
| Practice Telephone | 5405562344 |
| Mailing Telephone | 5405562344 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0119000248 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194979922 | Kimberly S Mcinnis | Physical Therapist | 698 Yonkers Ave, Suite 1j, Yonkers, NY 10704-2689 | 2008-11-06 |
| Street Address |
5649 MEADOWCREST ST |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682319 | Diana Alejandra Rojas | Specialist | 509 E Byron Nelson Blvd Ste C, Roanoke, TX 76262-6183 | 2020-02-28 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| 1033681036 | Stacey Caputo | Specialist | 2149 Electric Rd Ste 3, Roanoke, VA 24018-1975 | 2019-01-02 |
| 1407192735 | Virginia Interventional Pain & Spine Center, Inc. | Specialist | 3800 Electric Rd Ste 307, Roanoke, VA 24018-4568 | 2012-12-13 |
| 1699952424 | Chrissy Lee Mcconnaughy | Specialist | 1809 Sheffield Rd Sw, Roanoke, VA 24015-3021 | 2008-01-23 |
| 1497957419 | Gill Memorial Ent Clinic, PC | Specialist | 707 S Jefferson St Fl 5, Roanoke, VA 24016-5100 | 2007-06-01 |
| 1639390644 | Junius Ellett Crowgey | Specialist | 3814 Belle Aire Cir Sw, Roanoke, VA 24018-1251 | 2007-05-01 |
| 1558586776 | Wayne Starr Miller | Specialist | 7735 E Manitou Trl-92, Roanoke, IN 46783-9203 | 2007-04-14 |
| 1508927021 | Darrell Franklin Powledge | Specialist | 512 Mcdowell Ave., Ne, Suite B, Roanoke, VA 24016 | 2006-12-12 |
| 1609958776 | Southwest Virginia Center for Cosmetic Plastic & Recon Surgery | Specialist | 2965 Colonnade Drive, Suite 140, Roanoke, VA 24018-3541 | 2006-10-19 |
| Find all providers in ROANOKE | ||||
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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.