Individual provider Active NPI

Erin Kathleen McKinney, FNP-C

  • Pediatric Nurse Practitioner
  • Bristow, VA
National Provider Identifier
1205350683
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024175197 Issued in VA
Practice address
11835 Hazel Circle Dr
Bristow, VA 20136-1223
Phone
(703) 659-0855
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024175197 VA
Pediatric Nurse Practitioner 363LP0200X 0024175197 VA Primary

Addresses

Primary practice location

11835 Hazel Circle Dr
Bristow, VA 20136-1223

Mailing address

11835 Hazel Circle Dr
Bristow, VA 20136-1223
Phone (703) 659-0855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emckinney706666@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001969 VA Practitioner - Nurse Practitioner 9830465624 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175197VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Aug 16, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 16, 2017 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Trusted Doctors LLC PastSince Jul 1, 2022 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330

Interoperability endpoints

  • Direct secure messaging: emckinney706666@soc.inova.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1205350683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361223",
            "telephone_number": "703-659-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361223",
            "telephone_number": "703-659-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024175197",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024175197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emckinney706666@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Exchange Information",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8100 Ashton Ave Ste 101",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201095647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.