Active NPI
J & E McKinnie, Inc
- Home Health Registered Nurse
- Kissimmee, FL
National Provider Identifier
1568693976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 228769
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687098898 | Medicaid | FL | |
| 687098896 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.