Individual provider Active NPI

Lauren Dean McKinney, D.O.

  • Pediatrics Physician
  • Humboldt, TN
National Provider Identifier
1689038630
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5635 Issued in TN
Practice address
3535 Chere Carol Rd
Humboldt, TN 38343-3634
Phone
(731) 784-7833
Fax
(731) 337-7000
NPI assigned
Apr 6, 2016
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5635 TN Primary
Pediatrics Physician 208000000X 26575 MS

Addresses

Primary practice location

3535 Chere Carol Rd
Humboldt, TN 38343-3634

Mailing address

3535 Chere Carol Rd
Humboldt, TN 38343-3634
Phone (731) 784-7833

Other names 1

  • Lauren Anne Dean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816001747 MS Practitioner - Pediatric Medicine 7315274198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5635TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Healthcare LLC CurrentSince Aug 1, 2019 Accepting new patients
Rainbow Pediatric PC Pediatrics CurrentSince Sep 1, 2024 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

1636 E Main St
Humboldt, TN 38343
Phone (731) 784-7833

3535 Chere Carol Rd
Humboldt, TN 38343
Phone (731) 784-3323

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21899/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.mckinney.1@21899.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1689038630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433634",
            "telephone_number": "731-784-7833",
            "fax_number": "731-337-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433634",
            "telephone_number": "731-784-7833",
            "fax_number": "731-337-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "LAUREN",
        "middle_name": "DEAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "5635",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "26575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DEAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.