Active NPI
Lara Ann McKinney, FNP-BC
- Family Nurse Practitioner
- Colonial Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24179891
- Practice address
- 325 Charles H Dimmock Pkwy
Colonial Heights, VA 23834-2986 - Phone
- (804) 526-5888
- NPI assigned
- Jun 11, 2021
- Last updated
- Jun 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1257944 | VA | |
| Family Nurse Practitioner | 363LF0000X | 24179891 | VA | Primary |
Addresses
Primary practice location
325 Charles H Dimmock Pkwy
Colonial Heights, VA 23834-2986
Mailing address
11517 Rolling Brook Rd
Chester, VA 23831-2032
Phone (804) 514-1006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257944 | VA | MD | Registered Nurse |
| 24179891 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
Organizations & group practices 1
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1437727096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11517 ROLLING BROOK RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238312032",
"telephone_number": "804-514-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CHARLES H DIMMOCK PKWY",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342986",
"telephone_number": "804-526-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "LARA",
"middle_name": "ANN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "1257944",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "24179891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/a",
"address_1": "325 Charles H Dimmock Pkwy",
"city": "Colonial Heights",
"state": "VA",
"country_code": "US",
"postal_code": "238342986",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.