Mary Joann McKinney

Individual provider Active NPI Homemaker · Ashville, OH

NPI 1760098396 · NPPES record last updated Sep 28, 2020

Key facts

NPI
1760098396
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
Practice address
200 Main St W
Ashville, OH 43103-1219
Phone
(740) 983-4577
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Yes

Addresses

Primary practice location

200 Main St W
Ashville, OH 43103-1219

Mailing address

200 Main St W
Ashville, OH 43103-1219
Phone (740) 983-4577

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2020.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1760098396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST W",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431031219",
            "telephone_number": "740-983-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST W",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431031219",
            "telephone_number": "740-983-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MARY",
        "middle_name": "JOANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashville, OH

All providers in Ashville, OH · Homemaker in Ohio

Sources for this page

Verify at the official NPI Registry.