Active NPI
Earl T Kinnear, SFNP
- Family Medicine Physician
- Albany, MN
National Provider Identifier
1124137567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MN37994
- Practice address
- 320 3Rd Ave
Albany, MN 56307-9363 - Phone
- (320) 845-2157
- Fax
- (320) 845-6138
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MN37994 | MN | Primary |
Addresses
Primary practice location
320 3Rd Ave
Albany, MN 56307-9363
Mailing address
34239 Meadowview Dr
Albany, MN 56307-9394
Phone (320) 845-2479
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00F93KI | Other | MN | BLUE CROSS |
| 1010080 | Other | MN | PREFERRED ONE |
| MEDICA | Other | MN | MEDICA |
| P00216775 | Other | MN | RAIL ROAD MC |
| 110375 | Other | MN | UCARE |
| HP10762 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN37994 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124137567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34239 MEADOWVIEW DR",
"city": "ALBANY",
"state": "MN",
"postal_code": "563079394",
"telephone_number": "320-845-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 3RD AVE",
"city": "ALBANY",
"state": "MN",
"postal_code": "563079363",
"telephone_number": "320-845-2157",
"fax_number": "320-845-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEAR",
"first_name": "EARL",
"middle_name": "T",
"credential": "SFNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "MN37994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00F93KI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1010080",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "MEDICA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MC",
"identifier": "P00216775",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "110375",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP10762",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.