Active NPI
Diane Michelle McKinney, OTD R/L
- Occupational Therapist
- New Tazewell, TN
National Provider Identifier
1306496948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6061
- Practice address
- 902 Buchanan Rd
New Tazewell, TN 37825-7410 - Phone
- (423) 626-8215
- NPI assigned
- Sep 16, 2019
- Last updated
- Sep 16, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6061 | TN | Primary |
Addresses
Primary practice location
902 Buchanan Rd
New Tazewell, TN 37825-7410
Mailing address
4816 Sparks Rd
Knoxville, TN 37931-1911
Phone (865) 384-0761
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6061 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1306496948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 SPARKS RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379311911",
"telephone_number": "865-384-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 BUCHANAN RD",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378257410",
"telephone_number": "423-626-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "DIANE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "OTD R/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.