Individual provider Active NPI

Steven Ross Kinney, MD

  • Family Medicine Physician
  • Hermitage, TN
National Provider Identifier
1275691073
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
012856 Issued in TN
Practice address
244 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone
(615) 874-9888
Fax
(615) 883-6899
NPI assigned
Dec 5, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 012856 TN Primary

Addresses

Primary practice location

244 Jackson Meadows Dr
Hermitage, TN 37076-1425

Mailing address

244 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone (615) 874-9888

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012856TNMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: admin@hermitagefamilypractice.e-mdsdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1275691073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-874-9888",
            "fax_number": "615-883-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-874-9888",
            "fax_number": "615-883-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "STEVEN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "012856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.