Active NPI
James B. Kinney Jr., M.D.
- Military Health Care Provider
- Tacoma, WA
National Provider Identifier
1215081708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 025209 MD00024712
- Practice address
- Madigan Army Medical Ctr
Department of Pediatrics, MCHJ-P
Tacoma, WA 98431-1100 - Phone
- (253) 968-1980
- Fax
- (253) 968-0384
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 025209 MD00024712 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
Department of Pediatrics, MCHJ-P
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Ctr
Department of Pediatrics, MCHJ-P
Tacoma, WA 98431-1100
Phone (253) 968-1980
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025209 MD00024712 | WA | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215081708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "DEPARTMENT OF PEDIATRICS, MCHJ-P",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-1980",
"fax_number": "253-968-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "DEPARTMENT OF PEDIATRICS, MCHJ-P",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-1980",
"fax_number": "253-968-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "JAMES",
"middle_name": "B.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "WA",
"license": "025209 MD00024712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
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.