Organization Active NPI

J & E McKinnie, Inc

  • Home Health Registered Nurse
  • Kissimmee, FL
National Provider Identifier
1568693976
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
228769 Issued in FL
Legal business name
J & E MCKINNIE, INC
Practice address
3501 W. Vine Street
Suite #275
Kissimmee, FL 34741
Phone
(407) 847-6199
Fax
(407) 847-6170
NPI assigned
Aug 3, 2009
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Mrs. Earline S. McKinnie, EN, BSN-MA CLINICAL
Title
Ceo
Phone
(407) 847-6199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1905 FL
Home Health Registered Nurse 163WH0200X 228769 FL Primary

Addresses

Primary practice location

3501 W. Vine Street
Suite #275
Kissimmee, FL 34741

Mailing address

3501 W. Vine Street
Suite #275
Kissimmee, FL 34741
Phone (407) 847-6199

Other identifiers 2

IdentifierTypeStateIssuer
687098898MedicaidFL
687098896MedicaidFL

National Provider Directory

National Provider Directory

Locations

3501 W Vine St
Ste 275
Kissimmee, FL 34741
Phone (407) 847-6199

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1568693976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W. VINE STREET",
            "address_2": "SUITE #275",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-847-6199",
            "fax_number": "407-847-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W. VINE STREET",
            "address_2": "SUITE #275",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-847-6199",
            "fax_number": "407-847-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & E MCKINNIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "MCKINNIE",
        "authorized_official_first_name": "EARLINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-847-6199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EN, BSN-MA CLINICAL"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "1905",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "228769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687098898",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687098896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.