Active NPI
Marian McKay, APRN, PMHNP, PMHCNS
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1659397453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3003047
- Practice address
- 2301 Goldsmith LN
Louisville, KY 40218-1018 - Phone
- (502) 458-1171
- Fax
- (502) 479-9868
- NPI assigned
- Jul 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3003047 | KY | Primary |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 3003047 | KY |
Addresses
Primary practice location
2301 Goldsmith LN
Louisville, KY 40218-1018
Mailing address
5402 Hubbards CT
Louisville, KY 40207-2130
Phone (502) 548-1677
Other practice location 1
3834 Taylorsville Rd Bldg A
Louisville, KY 40220-1302
Phone (502) 822-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100294520 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003047 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Maloney'S Boys' Haven, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1841566387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1659397453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 HUBBARDS CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072130",
"telephone_number": "502-548-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 GOLDSMITH LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181018",
"telephone_number": "502-458-1171",
"fax_number": "502-479-9868"
}
],
"practiceLocations": [
{
"address_1": "3834 Taylorsville Rd Bldg A",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402201302",
"country_code": "US",
"telephone_number": "502-822-1663",
"fax_number": "844-313-3289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "MARIAN",
"credential": "APRN, PMHNP, PMHCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3003047",
"primary": true
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "KY",
"license": "3003047",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100294520",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.