Active NPI
McKinley Rounding Providers LLC
- Adult Health Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1669182085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- MCKINLEY ROUNDING PROVIDERS LLC
- Practice address
- 4954 E 56TH St
Indianapolis, IN 46220-5773 - Phone
- (800) 561-2078
- Fax
- (317) 388-5655
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahlini Kaye McKinley, NP
- Title
- Nurse Practitioner
- Phone
- (317) 439-9207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
4954 E 56TH St
Indianapolis, IN 46220-5773
Mailing address
3140 Arundel LN
Indianapolis, IN 46222-1815
Phone (317) 439-9207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Indianapolis, IN
- NPI 1720308430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1669182085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 ARUNDEL LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221815",
"telephone_number": "317-439-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4954 E 56TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462205773",
"telephone_number": "800-561-2078",
"fax_number": "317-388-5655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKINLEY ROUNDING PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2023-02-08",
"certification_date": "2023-01-20",
"status": "A",
"authorized_official_last_name": "MCKINLEY",
"authorized_official_first_name": "SHAHLINI",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "317-439-9207",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.