Individual provider Active NPI

Tina Kinney, FNP

  • Family Nurse Practitioner
  • Maysville, KY
National Provider Identifier
1700380375
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012177 Issued in KY
Practice address
420 W Martin Luther King Hwy
Maysville, KY 41056
Phone
(606) 375-4817
Fax
(606) 375-4818
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012177 KY Primary

Addresses

Primary practice location

420 W Martin Luther King Hwy
Maysville, KY 41056

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

Other identifiers 1

IdentifierTypeStateIssuer
3012177OtherKYKY APN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180514001061 KY Practitioner - Nurse Practitioner 4385908623 Reassigns benefits to 2 organizations
I20260120000535 NJ Practitioner - Nurse Practitioner 4385908623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medcorps Asthma and Pulmonary Specialists LLCGroup PAC ID 3375863764, 20 clinicians

Practice addresses (Care Compare)

222 New Rd
Suite 201
Linwood, NJ 08221-1281
Phone (609) 788-8593

989 Medical Park Dr
Suite 200
Maysville, KY 41056-8750
Phone (606) 759-9424

Hospital & facility affiliations

  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 19, 2018 Accepting new patients
Medcorps Asthma and Pulmonary Specialists LLC CurrentSince Jul 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 19, 2018 Accepting new patients
Ross Medical Associates PSC Past Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients
Fast Pace Kentucky PLLC PastSince Jul 1, 2025 Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

989 Medical Park Dr
Ste 200
Maysville, KY 41056
Phone (606) 759-9424

910 Kenton Station Dr
Ste A
Maysville, KY 41056
Phone (606) 759-9424

222 New Rd
Ste 201
Linwood, NJ 08221
Phone (609) 788-8593

100 Kings Way E
Ste D1
Sewell, NJ 08080
Phone (856) 264-2955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11515/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tina.kinney.1@11515.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1700380375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110",
            "fax_number": "931-722-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MARTIN LUTHER KING HWY",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "41056",
            "telephone_number": "606-375-4817",
            "fax_number": "606-375-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "TINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY APN",
            "identifier": "3012177",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.