Individual provider Active NPI

Cathy Hill McKinney, APN

  • Adult Health Nurse Practitioner
  • Union City, TN
National Provider Identifier
1407913817
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN 5298 Issued in TN
Practice address
1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone
(731) 885-6600
Fax
(731) 885-9239
NPI assigned
Jan 3, 2007
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN 5298 TN Primary

Addresses

Primary practice location

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047

Mailing address

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone (731) 885-6600

Other identifiers 2

IdentifierTypeStateIssuer
6040219OtherTNBLUE CROSS BLUE SHIELD
Q002319MedicaidTN

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

State licenses

LicenseStateTypeSpecialty
APN 5298TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Troy, PLLC Past Accepting new patients
Allcare Medical Troy, PLLC PastSince May 11, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1407913817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-885-6600",
            "fax_number": "731-885-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-885-6600",
            "fax_number": "731-885-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CATHY",
        "middle_name": "HILL",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN 5298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6040219",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002319",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.