SANDRA HARRIS MCKINNON (NPI# 1407453814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407453814 |
| Entity Type | Individual |
| Full Name | SANDRA HARRIS MCKINNON |
| Credential | LVN |
| Practice Address |
4349 Crow Rd Ste A&b Beaumont TX 77706-7082 |
| Practice Telephone | 4098132206 |
| Practice Fax Number | 4098132236 |
| Mailing Telephone | 4098132206 |
| Mailing Fax Number | 4098132236 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 194826 | TX | Nursing Service Providers |
| Street Address |
4349 CROW RD STE A&B |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-7082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336785617 | Texas Treatment Services, LLC | Community/Behavioral Health | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2019-11-21 |
| 1306443627 | Royace Roy Hill | Counselor | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-09 |
| 1932706256 | Tammy Renee Hopkins | Registered Nurse | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-09 |
| 1003413337 | Robyn Elaina Gobble | Registered Nurse | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-09 |
| 1619574035 | Tridena Johnson Jones | Counselor | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-08 |
| 1215534631 | Quanah Ann Smith | Counselor | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-08 |
| 1124625520 | Jennifer Elaine Sawyer | Counselor | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-08 |
| 1467059899 | Alexia Mikayla Sawyer | Counselor | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1932728615 | Rakeyla Cheatham | Licensed Vocational Nurse | 9410 Landis Dr, Beaumont, TX 77707-1153 | 2020-04-13 |
| 1437708542 | Megan Ho | Licensed Vocational Nurse | 6380 Madera Ln, Beaumont, TX 77706-4049 | 2019-09-11 |
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1538660766 | Angela Rochelle Nickerson | Licensed Vocational Nurse | 2355 Rockwell St, Beaumont, TX 77701-8029 | 2018-02-22 |
| 1265932834 | Katelyn Finch | Licensed Vocational Nurse | 8620 Kimberly Dr, Beaumont, TX 77707-1432 | 2018-02-20 |
| 1760991731 | Sandra Catrice Young | Licensed Vocational Nurse | 5750 N Major Drive # 201, Beaumont, TX 77713-9025 | 2017-09-21 |
| 1326561994 | Funmilayo Falese Olukanni | Licensed Vocational Nurse | 35456 Snead St, Beaumont, CA 92223-6215 | 2017-07-25 |
| 1861938508 | Jace Eugene Thompson | Licensed Vocational Nurse | 410 Windfields Way, Beaumont, CA 92223-7011 | 2017-01-18 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| Find all providers in BEAUMONT | ||||
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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.