NPIMap

Individual provider Active NPI

Emily Anne Davis Kinney, M.D.

  • Family Medicine Physician
  • Columbia, LA
National Provider Identifier
1073856670
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
311870 Issued in LA
Practice address
484 Collins Rd
Columbia, LA 71418
Phone
(318) 649-5300
NPI assigned
Apr 2, 2013
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 311870 LA Primary

Addresses

Primary practice location

484 Collins Rd
Columbia, LA 71418

Mailing address

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

Other practice location 1

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7602

Other practice location 2

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7602

Other identifiers 1

IdentifierTypeStateIssuer
2416324MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814003080 LA Practitioner - Family Practice 7012159023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District No. 1 of Caldwell ParishGroup PAC ID 4587552450, shared by 2 NPIs, 37 clinicians

Practice addresses (Care Compare)

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Jul 15, 2019 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Jul 15, 2019 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Jul 15, 2019 Accepting new patients
Haven Nursing Center, Inc Past Accepting new patients

Locations

484 Collins Rd
Columbia, LA 71418
Phone (314) 649-5300

554 Collins Rd
Columbia, LA 71418
Phone (318) 649-5300

Interoperability endpoints

  • Direct secure messaging: ekinney@cmchosp.securechart.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/citi-5cd5e5a0

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1073856670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "71418",
            "telephone_number": "318-649-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026400",
            "country_code": "US",
            "telephone_number": "318-330-7602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4864 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026400",
            "country_code": "US",
            "telephone_number": "318-330-7602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "EMILY",
        "middle_name": "ANNE DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "311870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416324",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.