Kathleen A Kinnaman, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015012531 Issued in MO

Practice address

300 N Morley St
Ste a-C
Moberly, MO 65270-2334

Phone

(660) 263-1225

Fax

(660) 263-1613

NPI assigned

Oct 2, 2008

Last updated

Dec 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleenkinnaman@mhccaremail.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1336390822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "660-263-1225",
            "fax_number": "660-263-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MORLEY ST",
            "address_2": "STE A-C",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702334",
            "telephone_number": "660-263-1225",
            "fax_number": "660-263-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAMAN",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "503229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "503229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015012531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198344701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jones Beltone Hearing Center (deaj jones hearing aids)
• Justin G. Lamonda MD LLC
• Lauren Kalinowski
• Iqbal Akhtar Yar Khan, M.D.
• Anita R Kiessling-Caver, LCSW
• Hilary Dawn Knox
• Jaxon J Kobey, MSW, LCSW
• Shirley Marie Kribbs, RPH
• David Bradley Kruse, DC
• Mark Andre Lajeunesse, DC

• Family Nurse Practitioner in Moberly, MO
• Providers in Moberly, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.