Jessica McKinnie

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1310 E Rose St
Blytheville, AR 72315-3726

Phone

(870) 281-5628

NPI assigned

Dec 18, 2013

Last updated

Dec 18, 2013By the provider in NPPES

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

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1669893657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E ROSE ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723153726",
            "telephone_number": "870-281-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E ROSE ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723153726",
            "telephone_number": "870-281-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIE",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Yvonne McCaig, LCSW
• Mallory McCallister, OTD, OTR/L
• Elizabeth McCoy, RN
• Lauren Ashley McCullar, MCD, CCC-SLP
• Danielle Nicole McDuffey
• Markeeta Lashawn McRay
• Maria Denise Meadows
• Medsource DME, Inc
• Lartyania Merriweather, LMSW
• Orson Meyer

• Case Manager/Care Coordinator in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.