Active NPI
Karie E McGinnis, APRN-BC
- Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1629165659
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12239
- Practice address
- 2151 Century Lane
Johnson City, TN 37604-4469 - Phone
- (423) 926-2500
- Fax
- (423) 926-5999
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12239 | TN | Primary |
Addresses
Primary practice location
2151 Century Lane
Johnson City, TN 37604-4469
Mailing address
365 Stout Drive Box 70403
Johnson City, TN 37614-1703
Phone (423) 439-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513709 | Medicaid | TN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12239 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Cancer Care, P.C. | Past | Accepting new patients | |
| East Tennessee Hematology/Oncology Assoc P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oncology Clinic/Center
- Johnson City, TN
- NPI 1356446298
-
- Medical Oncology Physician
- Johnson City, TN
- NPI 1225389349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1629165659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 STOUT DRIVE BOX 70403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141703",
"telephone_number": "423-439-4515",
"fax_number": "423-439-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 CENTURY LANE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376044469",
"telephone_number": "423-926-2500",
"fax_number": "423-926-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "KARIE",
"middle_name": "E",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "12239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513709",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.