TINA LOUISE KINNEY (NPI# 1548529050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548529050 |
| Entity Type | Individual |
| Full Name | TINA LOUISE KINNEY |
| Credential | FNP |
| Practice Address |
714 Gravois Rd Fenton MO 63026-7723 |
| Practice Telephone | 6363266100 |
| Practice Fax Number | 6363266110 |
| Mailing Telephone | 6363266100 |
| Mailing Fax Number | 6363266110 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013041627 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2010041916 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700380375 | Tina Kinney | Nurse Practitioner | 420 W Martin Luther King Hwy, Maysville, KY 41056 | 2018-03-20 |
| Street Address |
714 GRAVOIS RD |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856396 | Damon R. Broyles | Family Medicine | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7727 | 2005-07-21 |
| 1619441201 | Christina Lynn Roeder | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2019-01-16 |
| 1437638764 | Stacia Smith | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2018-08-08 |
| 1093231151 | Kristin Blair Aubuchon | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2017-08-20 |
| 1962949396 | Christine Michelle Rodesiler | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2017-01-24 |
| 1003360850 | Sheila Marie Mueller | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2016-08-10 |
| 1821456112 | Mia Glover | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2016-02-02 |
| 1144623786 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 714 Gravois Rd, Ste 115, Fenton, MO 63026-7723 | 2014-09-26 |
| 1558783217 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 714 Gravois Rd, Suite 220, Fenton, MO 63026-7723 | 2014-01-15 |
| 1508126889 | Vandana Dalton | Obstetrics & Gynecology | 714 Gravois Rd, Fenton, MO 63026-7723 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083120208 | Tiffany Shanta Harold | Nurse Practitioner | 1011 Bowles Ave, Fenton, MO 63026-2395 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956304 | Andrea Marie Sleeth | Nurse Practitioner | 3329 W Sexton St, Springfield, MO 65810-1080 | 2020-09-15 |
| 1972112720 | Amy Elizabeth Richardson | Nurse Practitioner | 306 E Summit St, Doniphan, MO 63935-1332 | 2020-07-28 |
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1811531395 | Melanie Melissa Miranda | Nurse Practitioner | 23 Clayton Ter, Frontenac, MO 63131-2920 | 2019-10-29 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1255839916 | Valerie Latrice Johnson | Nurse Practitioner | 2796 N Lindbergh Blvd, Florissant, MO 63033-1402 | 2018-01-29 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1710357280 | Terri Lablance | Nurse Practitioner | 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 | 2015-09-28 |
| 1932443058 | Catherine Griffin | Nurse Practitioner | 33 Ayrshire Rd., St. Charles, MO 63303-3129 | 2012-11-15 |
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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.