Teresa Lynn Kinney, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209008489 Issued in IL

Practice address

408 W Lake Blvd
Danville, IL 61832-1022

Phone

(217) 497-9904

NPI assigned

Nov 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Teresa Lynn Smith Former name

Medicare fee-for-service enrollment

Enrolled in FL, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All American Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Spring Hill, FL
  • NPI 1588075931
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Hanover, IN
  • NPI 1649770769
  Medicare reassignment NPD
• Total Care Plus LLC

  • Urgent Care Clinic/Center
  • Brooksville, FL
  • NPI 1376069948
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Myprimary, LLC

  • Urgent Care Clinic/Center
  • Spring Hill, FL
  • NPI 1992431233
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1609178987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W LAKE BLVD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321022",
            "telephone_number": "217-497-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W LAKE BLVD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321022",
            "telephone_number": "217-497-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005686A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina M Kindle, MSW
• Lalita Ryvette King-Hoskins
• Joanne King, PH.D.
• Kevin King, DMD
• Robert Claire King, CRNA
• Kirk M Bott Dba Logan Avenue Foot Clinic
• Neil Kirkpatrick, RN
• Kelly Ann Kiser, MD
• Bekki Kist
• Brandye Lynn Kizer, BS, MHP

• Family Nurse Practitioner in Danville, IL
• Providers in Danville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.