Lucy B McKinniss, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11771 Issued in FL

Practice address

1620 S Clyde Morris Blvd Ste 200
Daytona Beach, FL 32119-9008

Phone

(286) 944-9740

Fax

(386) 944-9739

NPI assigned

Jan 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lucy B Kennon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1427415421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S WILLIAMSON BLVD APT 3-310",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S CLYDE MORRIS BLVD STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321199008",
            "telephone_number": "286-944-9740",
            "fax_number": "386-944-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNISS",
        "first_name": "LUCY",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "KENNON",
            "middle_name": "B",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jazmin Y McGuire, C.N.A.
• Mallory Anne McInnes, M.D.
• Jessica Lee McIntyre
• Linda McIver, CRNP
• Mindy M McKee
• Stacey McKinnon
• Kathleen McLaughlin, ARNP
• Maryjane McLaughlin, ARNP
• Matthew Price McLaughlin, PA-C
• Alex D. McLean, DPT

• Chiropractor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.