Thomas McKinnie

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1004275 Issued in DC

Practice address

7017 Sand Cherry Way
Clinton, MD 20735-4265

Phone

(901) 601-2444

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1629525639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 SAND CHERRY WAY",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 SAND CHERRY WAY",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354265",
            "telephone_number": "901-601-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIE",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1004275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Joseph McDonald, DO
• Patricia Ann McGee, L.G.S.W.
• Kelsey McGillivray, PA-C
• Debra Charlene McGriff, MS, CCC-SLP
• Aneesa Sunday McKinney, PA
• Valerie R McLean-Gentry
• Monica McLemore, PHARMD
• Richard McLeod Jr., DPT
• Latina McManus, CSW
• Jerome McQueen, MD

• Licensed Practical Nurse in Clinton, MD
• Providers in Clinton, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.