Angela Renee McLain, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200990 Issued in TN

Practice address

1041 E Sullivan St
Kingsport, TN 37660-5242

Phone

(423) 279-2162

Fax

(423) 224-1640

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1043722598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E SULLIVAN ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605242",
            "telephone_number": "423-279-2162",
            "fax_number": "423-224-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E SULLIVAN ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605242",
            "telephone_number": "423-279-2162",
            "fax_number": "423-224-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "200990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey McKee
• Lisa A McKinney Smith, DO
• Gabriel Micah McKinney, BA
• Susanne S McKinney, N.P.
• Kayla Ashlee McKissick, M.A.
• Scott D McLain, MD
• Randy K McLaughlin, MD
• Steven J McLaughlin, PA
• Barbara Lacey McManus, DPH
• Phillip E McManus, D PH

• Registered Nurse in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.