Active NPI
Erin Kathleen McKinney, FNP-C
- Pediatric Nurse Practitioner
- Bristow, VA
National Provider Identifier
1205350683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024175197
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175197 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.