Active NPI
Christina McKinley
- Adult Medicine Physician
- Covington, LA
National Provider Identifier
1083376594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- CHRISTINA MCKINLEY
- Practice address
- 71107 Highway 21
Covington, LA 70433-7243 - Phone
- (985) 781-0548
- Fax
- (985) 781-4319
- NPI assigned
- Oct 12, 2021
- Last updated
- Oct 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina M McKinley, MD
- Title
- Owner
- Phone
- (504) 232-5695
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
71107 Highway 21
Covington, LA 70433-7243
Mailing address
211 Churchill Downs Dr
Bush, LA 70431-4504
Phone (504) 232-5695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
71107 Highway 21
Covington, LA 70433
Phone (985) 238-0021
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Covington, LA
- NPI 1639332646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633996800000",
"number": "1083376594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CHURCHILL DOWNS DR",
"city": "BUSH",
"state": "LA",
"postal_code": "704314504",
"telephone_number": "504-232-5695",
"fax_number": "985-781-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71107 HIGHWAY 21",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337243",
"telephone_number": "985-781-0548",
"fax_number": "985-781-4319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTINA MCKINLEY",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A",
"authorized_official_last_name": "MCKINLEY",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-232-5695",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.