Active NPI
Cristal McKinney, COTA/L
- Occupational Therapy Assistant
- Taylorsville, NC
National Provider Identifier
1396333084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4150
- Practice address
- 3707 US Highway 64 90 W
Taylorsville, NC 28681-7890 - Phone
- (828) 228-8025
- NPI assigned
- Jan 7, 2021
- 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 Therapy Assistant | 224Z00000X | 4150 | NC | Primary |
Addresses
Primary practice location
3707 US Highway 64 90 W
Taylorsville, NC 28681-7890
Mailing address
3707 US Highway 64 90 W
Taylorsville, NC 28681-7890
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 |
|---|---|---|---|
| 4150 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1396333084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 US HIGHWAY 64 90 W",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286817890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 US HIGHWAY 64 90 W",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286817890",
"telephone_number": "828-228-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "CRISTAL",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "4150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, NC
- Sheila Yasmine Martinez, MSW
- Mary Elizabeth Starnes Huffman DDS PA (Apple Valley Family Dentistry)
- Brooke Nicole-Hayes Massenburg, FNP-BC
- Ivey Huffman Mauney, FNP-BC
- Breanna McCann
- McKinnon Eye Clinic, P.a.
- Judy Daniels McLaughlin, LPC NCC
- Steven Merrill, MD
- Katelyn Harwood Millinor, MA, NCC, LPC
- Tonya Meadows Millsaps, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.