Active NPI
Anne McKinnon, MD
- Internal Medicine Physician
- Northampton, MA
National Provider Identifier
1255311452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 49536
- Practice address
- 264 Elm St
Stes. 10&12
Northampton, MA 01060-2857 - Phone
- (413) 586-1100
- Fax
- (413) 584-7062
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 49536 | MA | Primary |
Addresses
Primary practice location
264 Elm St
Stes. 10&12
Northampton, MA 01060-2857
Mailing address
247 N Main St
Florence, MA 01062
Phone (413) 586-1754
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14312 | Other | MA | HEALTH NEW ENGLAND |
| 04-2161484 | Other | MA | NORTH AMERICAN PREFERRED |
| 04-2161484 | Other | MA | PLAN VISTA |
| 000000007900 | Other | MA | BMC |
| 04-2161484 | Other | MA | GREAT-WEST |
| 049536 | Other | MA | TUFTS |
| 04-2161484 | Other | MA | CONSOLIDATED |
| 04-2161484 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-2161484 | Other | MA | UNICARE/GIC |
| 04-2161484 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 201413 | Other | MA | HARVARD PILGRIM |
| J03980 | Other | MA | BCBS MA |
| 04-2161484 | Other | MA | PRIVATE HEALTHCARE SYSTEM |
| 1302469 | Medicaid | MA | |
| 10243501 | Other | MA | CIGNA |
| 1430260 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 717581 | Other | MA | CONNECTICARE |
| 820769 | Other | MA | AETNA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elm Street Adult Medicine, P.C. | Internal Medicine | Past | Accepting new patients |
| Baystate Affiliated Practice Organization | Internal Medicine | Past | Accepting new patients |
| Northampton Area Pediatrics, LLP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1043256043
-
- Internal Medicine Physician
- Northampton, MA
- NPI 1306914601
-
- Pediatrics Physician
- Northampton, MA
- NPI 1578586582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1255311452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 N MAIN ST",
"city": "FLORENCE",
"state": "MA",
"postal_code": "01062",
"telephone_number": "413-586-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 ELM ST",
"address_2": "STES. 10&12",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602857",
"telephone_number": "413-586-1100",
"fax_number": "413-584-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "49536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "14312",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLAN VISTA",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000007900",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "049536",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATED",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE/GIC",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTHCARE ALLI",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "201413",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J03980",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "04-2161484",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1302469",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10243501",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "1430260",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "717581",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "820769",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.