Kimberly McGaughey

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG01811 Issued in AR

Practice address

1430 N Bernice Dr
Fayetteville, AR 72703-6084

Phone

(479) 445-8365

NPI assigned

May 16, 2018

Sex

Female

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

Practice roles

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.

• Integrated Neuropsychological Services, LLC

  • Clinical Neuropsychologist
  • Fayetteville, AR
  • NPI 1942746102
  NPD

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1629568506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N BERNICE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036084",
            "telephone_number": "479-445-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N BERNICE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036084",
            "telephone_number": "479-445-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUGHEY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG01811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Shoemaker McEver, MD
• Brayton McFarland, CRNA
• Cassandra Star McFarland
• Michael Robert McFarland, O.D.
• Dalton McGaugh
• Holly Margaret McGee, M.S.CFY-SLP
• Marilyn Grace McGehee, MS CCCSLP
• Wesley McGehee, PA
• Amber Cyphers McGhee, DNP
• Linda A McGhee, M.D.

• Durable Medical Equipment & Medical Supplies in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.