Active NPI
Therese Doolin McKinley, APRN
- Family Nurse Practitioner
- Vero Beach, FL
National Provider Identifier
1215588694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004227
- Practice address
- 1545 9TH St SW
Vero Beach, FL 32962-4312 - Phone
- (772) 257-8224
- Fax
- (772) 213-3157
- NPI assigned
- Sep 26, 2019
- Last updated
- Jan 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11004227 | FL | Primary |
Addresses
Primary practice location
1545 9TH St SW
Vero Beach, FL 32962-4312
Mailing address
1545 9TH St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11004227 | Other | FL | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1215588694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624312",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624312",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "THERESE",
"middle_name": "DOOLIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11004227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APRN11004227",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.