Active NPI
Liza Jane McKinney, CNM
- Midwife
- Stuart, FL
National Provider Identifier
1568401925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 000581
- Practice address
- 18 15 S Kanner Hwy
Stuart, FL 34994 - Phone
- (772) 288-2992
- Fax
- (772) 288-2999
- NPI assigned
- Jun 4, 2006
- Last updated
- Feb 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 000581 | NY | Primary |
Addresses
Primary practice location
18 15 S Kanner Hwy
Stuart, FL 34994
Mailing address
18 15 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01999848 | Medicaid | NY |
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000581 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1568401925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 15 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "34994",
"telephone_number": "772-288-2992",
"fax_number": "772-288-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 15 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "34994",
"telephone_number": "772-288-2992",
"fax_number": "772-288-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "LIZA",
"middle_name": "JANE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "000581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01999848",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.