Active NPI
Keisha McKinsey
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1154772499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131334
- Practice address
- 315 S Hampton Rd
Dallas, TX 75208-5618 - Phone
- (469) 800-8810
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Gynecology Physician
- Midlothian, TX
- NPI 1073129458
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131334 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Gynecology LLC | Current | Accepting new patients |
Locations
1311 Ferris Ave
Ste A
Waxahachie, TX 75165
Phone (214) 903-8070
Interoperability endpoints
- keisha.mckinsey.1@14883.direct.athenahealth.com
- keisha.mckinsey@237407481626628.direct.elationemr.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131334 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
315 S Hampton Rd
Dallas, TX 75208-5618
Mailing address
1311 Ferris Avenue
Suite a
Waxahachie, TX 75165
Phone (214) 903-8070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2018.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1154772499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 FERRIS AVENUE",
"address_2": "SUITE A",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "75165",
"telephone_number": "214-903-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S HAMPTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752085618",
"telephone_number": "469-800-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINSEY",
"first_name": "KEISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP131334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.