Active NPI
Tara Renae McKinney, MFT
- Marriage & Family Therapist
- Sierra Vista, AZ
National Provider Identifier
1730379587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44562
- Practice address
- 3100 Cardinal Dr
Sierra Vista, AZ 85635-4229 - Phone
- (831) 206-8103
- Fax
- (831) 204-2990
- NPI assigned
- Jul 27, 2007
- Last updated
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44562 | CA | Primary |
Addresses
Primary practice location
3100 Cardinal Dr
Sierra Vista, AZ 85635-4229
Mailing address
3100 Cardinal Dr
Sierra Vista, AZ 85635-4229
Phone (831) 206-8103
Other practice location 1
66 1st St Ste 8
Gilroy, CA 95020-5140
Phone (831) 206-8103
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tara.r.mckinney.civ@mail.mil | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44562 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1730379587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 CARDINAL DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354229",
"telephone_number": "831-206-8103",
"fax_number": "831-204-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CARDINAL DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354229",
"telephone_number": "831-206-8103",
"fax_number": "831-204-2990"
}
],
"practiceLocations": [
{
"address_1": "66 1st St Ste 8",
"address_purpose": "LOCATION",
"city": "Gilroy",
"state": "CA",
"postal_code": "950205140",
"country_code": "US",
"telephone_number": "831-206-8103",
"fax_number": "831-726-1290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINNEY",
"first_name": "TARA",
"middle_name": "RENAE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44562",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tara.r.mckinney.civ@mail.mil",
"affiliation": "N",
"endpointDescription": "direct email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "direct contact",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct contact",
"address_1": "473 Cabrillo St Bldg 422",
"city": "Monterey",
"state": "CA",
"country_code": "US",
"postal_code": "939443201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.