Carlyn Ilene McKinney, PT CWS

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

03702 Issued in LA

Practice address

6818A Highway 84
Ferriday, LA 71334-5101

Phone

(318) 757-7575

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Professional Rehabilitation Hospital LLC

  • Long Term Care Hospital
  • Vidalia, LA
  • NPI 1518929926
  NPD (past)
• Promise Hospital of Baton Rouge, Inc

  • Long Term Care Hospital
  • Gonzales, LA
  • NPI 1194969386
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1104019470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHERRYBARK LN",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209377",
            "telephone_number": "601-442-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818A HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713345101",
            "telephone_number": "318-757-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CARLYN",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "PT CWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "03702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Martin
• Nelda J Mason
• Porchia Matthews
• Magayla Danielle McBride, MHP
• Zakeedra McKeel
• Kenyon T Mearday Sr.
• Lakeedra Melancon
• Latara Miles, MA
• Huey H Moak, MD
• Chelsea Morris, NP

• All providers in Ferriday, LA
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.