MRS. CAROLYN MARIE MCGINNIS (NPI# 1457714487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457714487 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN MARIE MCGINNIS |
| Credential | AGACNP-BC |
| Practice Address |
419 Southside Ave Webster Groves MO 63119-4851 |
| Practice Telephone | 3143021126 |
| Mailing Telephone | 3143021126 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 200901974 | MO | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2016000695 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778283 | Carolyn Hovey Mcginnis | Social Worker | 480 Pierce St Ste 300, Kingston, PA 18704-5512 | 2019-12-22 |
| 1366771701 | Carolyn Faye Mcginnis | Pharmacist | 1910 W.. Braker Ln #2, Austin, TX 78758 | 2009-12-14 |
| 1972710978 | Carolyn S Mcginnis | Psychologist | 110 Del Rio Dr, Santa Fe, NM 87501-2397 | 2007-05-17 |
| 1497903009 | Carolyn Mcginnis | Audiologist | 1575 Pond Rd, Ste 203, Allentown, PA 18104-2254 | 2008-09-08 |
| Street Address |
419 SOUTHSIDE AVE |
| City | WEBSTER GROVES |
| State | MO |
| Zip Code | 63119-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1063039311 | Gavin Lee Flentge | Nurse Practitioner | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-02 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | WEBSTER GROVES |
| Zip Code | 63119 |
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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.