Priscilla Lynn McKinnon

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

511 Cypress Dr
Raeford, NC 28376-5323

Phone

(910) 978-5706

NPI assigned

Nov 6, 2019

Last updated

Nov 6, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1184268807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 SHAW RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112243",
            "telephone_number": "910-978-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CYPRESS DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765323",
            "telephone_number": "910-978-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "PRISCILLA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERAN",
            "identifier": "3747A0650X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McEachin Treatment Facility
• Taryn McGirt
• Chad C McGraw, PA-C
• Dewanna McIntyre
• Shonda McIver
• Keeyetta L McKoy
• Felander McLean
• Kaimesha McLean
• Lashawnta McLean
• Laquanya McNatt

• Attendant Care Provider in Raeford, NC
• Providers in Raeford, NC by specialty
• Attendant Care Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.