Active NPI
Debbra Ann McKinney
- Social Worker
- Bunnell, FL
National Provider Identifier
1639515828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 301 Justice LN
Bunnell, FL 32110-4487 - Phone
- (386) 254-1248
- NPI assigned
- May 15, 2013
- Last updated
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
301 Justice LN
Bunnell, FL 32110-4487
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 254-1248
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1639515828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142405",
"telephone_number": "386-254-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JUSTICE LN",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321104487",
"telephone_number": "386-254-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "DEBBRA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bunnell, FL
- Lori Martin, APRN, FNP-BC, RN
- Trina C Martin, M.D.
- Marvmed LLC (Flagler & Volusia Rehab)
- Sophia Xiques Mas, L.M.H.C.
- Priscilla Matos
- Medcare Diabetic Supply LLC
- Medical Risk Solutions (MHO-Flagler County EHC-Bunnell)
- Melony Thomas Chiropractic Centers
- Metropolitan Health Networks (Med Blue)
- MF Flagler LLC (Flagler Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.