LUCY B MCKINNISS (NPI# 1427415421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427415421 |
| Entity Type | Individual |
| Full Name | LUCY B MCKINNISS |
| Other Name | LUCY B KENNON |
| Credential | D.C. |
| Practice Address |
1620 S Clyde Morris Blvd Ste 200 Daytona Beach FL 32119-9008 |
| Mailing Address |
5400 S Williamson Blvd Apt 3-310 Port Orange FL 32128-6539 |
| Practice Telephone | 2869449740 |
| Practice Fax Number | 3869449739 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11771 | FL | Chiropractic Providers |
| Street Address |
1620 S CLYDE MORRIS BLVD STE 200 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32119-9008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669946638 | Ryan Adam Revels | Chiropractor | 433 Silver Beach Ave Ste 101, Daytona Beach, FL 32118-7104 | 2019-01-14 |
| 1922594472 | Josh Clark | Chiropractor | 1620 S Clyde Morris Blvd, Daytona Beach, FL 32119-9020 | 2018-07-09 |
| 1447706163 | Christopher Ali Amirzadeh | Chiropractor | 152 W Sandalwood Ct, Daytona Beach, FL 32119-1465 | 2016-09-01 |
| 1871968313 | Kristine Georgia Lamana | Chiropractor | 240 S. Palmetto Ave, Daytona Beach, FL 32114 | 2015-12-09 |
| 1821484387 | Taylor Hoeffert | Chiropractor | 211 E International Speedway Blvd, Suite 202, Daytona Beach, FL 32118-4689 | 2015-04-11 |
| 1235556218 | John Nelson | Chiropractor | 115 S Palmetto Ave, Daytona Beach, FL 32114-4319 | 2014-03-27 |
| 1710300363 | Elizabeth Echevarria | Chiropractor | 1200 Beville Rd, Daytona Beach, FL 32114 | 2014-01-31 |
| 1164852760 | Jaime Perez Melendez | Chiropractor | 600 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32114-2322 | 2013-11-18 |
| 1346500501 | Amy Lynn Wolf | Chiropractor | 206 S Beach St, Daytona Beach, FL 32114-4404 | 2012-05-22 |
| 1972899409 | Beachside Chiropractic, Inc | Chiropractor | 940 N Halifax Ave, Clinic, Daytona Beach, FL 32118-3733 | 2011-06-23 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32119 |
Please comment or provide details below to improve the information on LUCY B MCKINNISS.
| 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.