KERISSA ELIZABETH MCKINNEY (NPI# 1699205559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699205559 |
| Entity Type | Individual |
| Full Name | KERISSA ELIZABETH MCKINNEY |
| Credential | APRN |
| Practice Address |
234 Porter St Morgantown KY 42261-8629 |
| Mailing Address |
1266 Hood Rd Morgantown KY 42261-7642 |
| Practice Telephone | 2705269652 |
| Mailing Telephone | 2709990508 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3011386 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
234 PORTER ST |
| City | MORGANTOWN |
| State | KY |
| Zip Code | 42261-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366647075 | Ghayth Hammad, Md Psc | Specialist | 234 Porter St, Morgantown, KY 42261-8629 | 2007-06-20 |
| 1780206235 | Tara Hewitt | Registered Nurse | 234 Porter St, Morgantown, KY 42261-8629 | 2020-05-07 |
| 1104238146 | Shira Beth Hughes | Nurse Practitioner | 234 Porter St, Morgantown, KY 42261-8629 | 2014-05-26 |
| 1952729386 | Ghayth Hammad Md | Clinic/Center | 234 Porter St, Morgantown, KY 42261-8629 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629566500 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 1118 S. Main St., Suite 3, Morgantown, KY 42261 | 2018-04-26 |
| 1437663846 | Ack Healthcare Management LLC | Nurse Practitioner | 1116 S Main St Ste 5, Morgantown, KY 42261 | 2017-11-21 |
| 1477076735 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 205 W Gl Smith St, Morgantown, KY 42261 | 2017-07-19 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1114330867 | Shannon Logan | Pharmacist | 205 West G. L. Smith Street, Morgantown, KY 42261 | 2014-06-10 |
| 1215227897 | Robert Henry Campbell | Pharmacist | 205 West G.l. Smith St., Morgantown, KY 42261 | 2011-04-15 |
| 1285924076 | Dale Ervin Beaty | Pharmacist | 205 West G L Smith Street, Morgantown, KY 42261 | 2011-04-13 |
| 1003121153 | Sharon J Douglas | Marriage & Family Therapist | 213 West Ohio St., Morgantown, KY 42261 | 2010-08-13 |
| 1750555033 | Burt & Jackson Dmd Pllc Bluegrass Oral Health Center of Morgantown | Dentist | 304 West Ohio St., Morgantown, KY 42261 | 2008-04-17 |
| 1619168994 | Lp Morgantown LLC | Durable Medical Equipment & Medical Supplies | 201 S Warren St, Morgantown, KY 42261 | 2007-08-05 |
| Find all providers in zip 42261 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520800 | Debra L Fox | Nurse Practitioner | 3420 Lazzelle Union Rd, Morgantown, WV 26501-2086 | 2020-05-26 |
| 1407489396 | Sonya Rouleau | Nurse Practitioner | 1005 Ann Marie Dr, Morgantown, WV 26508-9280 | 2020-02-19 |
| 1760038806 | Christy Stahl | Nurse Practitioner | 751 Benefactor Dr, Morgantown, WV 26501-1123 | 2019-08-14 |
| 1669974267 | Lindsay Brooke Arbogast | Nurse Practitioner | 1300 Fort Pierpont Dr # 101, Morgantown, WV 26508-1314 | 2018-02-28 |
| 1174022487 | Brianna Nicole Vikartosky | Nurse Practitioner | 3000 Mon Health Medical Park Dr Ste 3203, Morgantown, WV 26505-1135 | 2018-02-02 |
| 1760901334 | Melissa Dawn Dingey | Nurse Practitioner | 30 Mon Health Dr, Morgantown, WV 26505-2853 | 2017-09-15 |
| 1992223382 | Erica Kuhnlein | Nurse Practitioner | 186 Fairchance Rd, Morgantown, WV 26508-4435 | 2017-09-06 |
| 1447774096 | Kristen Wigal | Nurse Practitioner | 2600 Cranberry Sq, Morgantown, WV 26508-9201 | 2017-07-26 |
| 1780068742 | Natasha Dawn Wamsley | Nurse Practitioner | 108 Clear Spring Dr, Morgantown, WV 26508-3203 | 2015-07-19 |
| 1558743849 | Stonerise Services, LLC | Nurse Practitioner | 30 Mon General Dr, Morgantown, WV 26505-2853 | 2015-06-23 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 42261 |
Please comment or provide details below to improve the information on KERISSA ELIZABETH MCKINNEY.
| 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.