Individual provider Active NPI

Mary Eileen Julia Kiniry, RN, MSN, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salinas, CA
National Provider Identifier
1578728127
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
195975 Issued in CA
Practice address
13590 Paseo Terrano
Salinas, CA 93908-9429
Phone
(831) 484-1103
Fax
(831) 484-1103
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 195975 CA Primary

Addresses

Primary practice location

13590 Paseo Terrano
Salinas, CA 93908-9429

Mailing address

13590 Paseo Terrano
Salinas, CA 93908-9429
Phone (831) 484-1103

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
195975CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1578728127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 PASEO TERRANO",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939089429",
            "telephone_number": "831-484-1103",
            "fax_number": "831-484-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 PASEO TERRANO",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939089429",
            "telephone_number": "831-484-1103",
            "fax_number": "831-484-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINIRY",
        "first_name": "MARY EILEEN",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "195975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.