KELLY MCKINNEY (NPI# 1962870444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962870444 |
| Entity Type | Individual |
| Full Name | KELLY MCKINNEY |
| Practice Address |
2040 N Shadeland Ave Ste 300 Indianapolis IN 46219-1711 |
| Mailing Address |
6626 E 75th St Indianapolis IN 46250-2805 |
| Practice Telephone | 3173553232 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28178100A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28178100A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760996581 | Kelly D Mckinney | Massage Therapist | 3084 E Us Highway 136, Crawfordsville, IN 47933-7906 | 2017-12-01 |
| 1629419213 | Kelly Lynn Mckinney | Dentist | 2308 Highway 367 N Ste 300, Newport, AR 72112-2499 | 2013-07-11 |
| 1376929760 | Kelly Mckinney | Nurse Practitioner | 400 Mid Rivers Mall Dr, Saint Peters, MO 63376-1577 | 2015-08-07 |
| Street Address |
2040 N SHADELAND AVE STE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641074 | Louis Michael Wright | Internal Medicine | 2040 N Shadeland Ave, Suite 310, Indianapolis, IN 46219-1711 | 2005-07-07 |
| 1730637455 | Cortney Dammeier | Counselor | 2040 N Shadeland Ave, Ste 200, Indianapolis, IN 46219-1711 | 2016-09-12 |
| 1104279181 | Kimberly Hardin | Dietitian, Registered | 2040 N Shadeland Ave, Ste. 300, Indianapolis, IN 46219-1711 | 2016-07-14 |
| 1720443328 | Melissa H Davis | Social Worker | 2040 N Shadeland Ave, Ste 250, Indianapolis, IN 46219-1711 | 2015-12-23 |
| 1336515428 | Courtney Burrus | Registered Nurse | 2040 N Shadeland Ave, Ste 300, Indianapolis, IN 46219-1711 | 2015-08-12 |
| 1609252253 | Karleen Ritchie | Pharmacist | 2040 N Shadeland Ave, Indianapolis, IN 46219-1711 | 2015-08-05 |
| 1336565761 | Susana Wilson | Social Worker | 2040 N Shadeland Ave, Ste 250, Indianapolis, IN 46219-1711 | 2014-03-10 |
| 1710329313 | Sarah A Schinbeckler | Nurse Practitioner | 2040 N Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1225385651 | Jennifer L O'neal | Counselor | 2040 N Shadeland Ave, Suite 200, Indianapolis, IN 46219-1711 | 2012-08-03 |
| 1295001329 | Teykia Elice Deveaux | Pediatrics | 2040 N Shadeland Ave, Indianapolis, IN 46219-1711 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on KELLY 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.