JOHN LELAND MCKINLEY (NPI# 1497283253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497283253 |
| Entity Type | Individual |
| Full Name | JOHN LELAND MCKINLEY |
| Credential | APRN CNP |
| Practice Address |
3525 Monterey Dr St Louis Park MN 55416 |
| Mailing Address |
3525 Monterey Dr St Louis Park MN 55416-5275 |
| Practice Telephone | 9529936200 |
| Practice Fax Number | 9529936685 |
| Mailing Telephone | 9529936200 |
| Mailing Fax Number | 9529936685 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5202 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 Riverside Ave, Minneapolis, MN 554541450 | 6122733000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776901 | John Antonio Mckinley | Counselor | 234 Eddy St, San Francisco, CA 94102-2716 | 2017-08-16 |
| 1972801744 | John Aaron Mckinley | Physician Assistant | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2011-03-03 |
| 1194837583 | John D Mckinley | Physician Assistant | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-08-31 |
| 1093798811 | John Mckinley | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2005-11-25 |
| 1023006244 | John Mckinley | Specialist/Technologist | 621 Science Dr, Madison, WI 53711-1074 | 2005-10-11 |
| Street Address |
3525 MONTEREY DR |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519563 | Deborah Mangham | Family Medicine | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2005-12-19 |
| 1003440371 | Samantha Marie Slinger | Occupational Therapist | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2020-02-26 |
| 1528603412 | Kelli Lynn Jones | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-11-14 |
| 1558919068 | Lucy Ramquist | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-08-28 |
| 1174170146 | Miranda Larson | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-08-23 |
| 1467014043 | Kendra Rose Johnson | Occupational Therapist | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-07-03 |
| 1669952180 | Hannah Paruzynski | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416 | 2018-08-14 |
| 1881114056 | Kaitlin Lezcano Lytle | Counselor | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2017-06-20 |
| 1417483744 | Kayla Joy Muckenhirn | Occupational Therapist | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2017-05-05 |
| 1285170357 | Benjamin Hamilton Meyers | Counselor | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427601483 | Angela M Melland | Nurse Practitioner | 1550 Utica Ave S Ste 450, St Louis Park, MN 55416-3678 | 2019-07-18 |
| 1891309969 | Loveline N Ngu | Nurse Practitioner | 1155 Ford Rd, St Louis Park, MN 55426-1099 | 2020-09-04 |
| 1811537632 | Tatum Karos | Nurse Practitioner | 4027 County Road 25, St Louis Park, MN 55416-2629 | 2020-01-09 |
| 1194167643 | Muriel Denise Philipp | Nurse Practitioner | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1099 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on JOHN LELAND MCKINLEY.
| 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.