Active NPI
Michele L McKay, APRN-BC
- Family Nurse Practitioner
- Lakeway, TX
National Provider Identifier
1245223692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 617280
- Practice address
- 2306 Rr620 South
Lakeway, TX 78734 - Phone
- (512) 263-6000
- NPI assigned
- Aug 31, 2005
- Last updated
- Aug 2, 2007
- 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 | 617280 | TX | Primary |
Addresses
Primary practice location
2306 Rr620 South
Lakeway, TX 78734
Mailing address
333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Phone (612) 659-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617280 | Other | TX | STATE 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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186012800000",
"number": "1245223692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N",
"address_2": "SUITE 5000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011377",
"telephone_number": "612-659-7111",
"fax_number": "612-659-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 RR620 SOUTH",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-263-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2007-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "617280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "617280",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.