Richard Terry Kinnaman, LICENSED ALCOHOL DRU

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

407 Issued in TN

Practice address

3011 Harrah Dr. Suite M
Spring Hill, TN 37174

Phone

(615) 812-9773

Fax

(615) 302-0108

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1467592956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 HARRAH DR. SUITE M",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "615-812-9773",
            "fax_number": "615-302-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HARRAH DR. SUITE M",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "615-812-9773",
            "fax_number": "615-302-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAMAN",
        "first_name": "RICHARD",
        "middle_name": "TERRY",
        "credential": "LICENSED ALCOHOL DRU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Mychelle Key
• Beshoy W. Khalil, DPM
• Jennifer A Kilgore, AU D
• Kyle Minki Kim, DPT
• Oluwataye King
• Skylar Mai Kinslow
• Christy Anne Kirkham
• Greg P Kirkham, LCSW
• Kris Neal Klausner II, PTA
• Sarah Knapek

• Addiction (Substance Use Disorder) Counselor in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.