Active NPI
Edward McKay, CDCII
- Addiction (Substance Use Disorder) Counselor
- Kotzebue, AK
National Provider Identifier
1477863751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4029
- Practice address
- 733 2ND Ave
Kotzebue, AK 99752-0256 - Phone
- (907) 442-7640
- NPI assigned
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4029 | AK | Primary |
Addresses
Primary practice location
733 2ND Ave
Kotzebue, AK 99752-0256
Mailing address
PO Box 256
Kotzebue, AK 99752-0256
Phone (907) 442-7640
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 |
|---|---|---|---|
| 4029 | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1477863751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520256",
"telephone_number": "907-442-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 2ND AVE",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520256",
"telephone_number": "907-442-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "EDWARD",
"credential": "CDCII",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "4029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.