Active NPI
Nancy Lynn McKinnon, DPT, ATC
- Athletic Trainer
- Albuquerque, NM
National Provider Identifier
1578640843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 505 Elm St NE
Albuquerque, NM 87102-2500 - Phone
- (505) 727-3067
- NPI assigned
- Nov 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3235 | NM | |
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
505 Elm St NE
Albuquerque, NM 87102-2500
Mailing address
14225 Copper Ave NE
G707
Albuquerque, NM 87123-1859
Phone (505) 294-8380
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3235 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1578640843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14225 COPPER AVE NE",
"address_2": "G707",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871231859",
"telephone_number": "505-294-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500",
"telephone_number": "505-727-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "NANCY",
"middle_name": "LYNN",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3235",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.