Mika Laray McKinney, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

3733 N Business Dr Ste 101
Fayetteville, AR 72703-5286

Phone

(479) 443-5476

NPI assigned

May 1, 2019

Last updated

May 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1700441136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 N CORAL CANYON LOOP APT 200",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046297",
            "telephone_number": "918-774-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 N BUSINESS DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035286",
            "telephone_number": "479-443-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581452",
            "country_code": "US",
            "telephone_number": "479-338-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MIKA",
        "middle_name": "LARAY",
        "name_prefix": "Miss",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F McKay, MHPP
• Beth McKee, BCBA, MSED
• Gregory McKenzie, MD
• Martha Jo McKinney, APN
• Meredith Leigh McKinney, MD
• Teresa Beth McKinney, P.A.-C
• Amanda Estelle McLarty
• Benjamin McLinn
• Amy Brown McMahan, MACCCSLP
• Andrea Elizabeth McMahon, MD

• Surgical Assistant in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Surgical Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.