Marsha Lee McKinnon, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

57086-030 Issued in WI

Practice address

710 Starin Road
Whitewater, WI 53190

Phone

(262) 472-1300

Fax

(262) 472-5608

NPI assigned

Apr 20, 2007

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• University of Wisconsin System Non Payroll

  • Clinic/Center
  • Whitewater, WI
  • NPI 1295905081
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780801423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 STARIN ROAD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "53190",
            "telephone_number": "262-472-1300",
            "fax_number": "262-472-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 STARIN ROAD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "53190",
            "telephone_number": "262-472-1300",
            "fax_number": "262-472-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "MARSHA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "WI",
            "license": "57086-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie McCalip, LCSW
• Grant McCullough, PHARMD, RPH
• Robert McCullough, RPH
• Courtney Jane McGee, PHARMD
• Geraldine Louise McGrorty Buchholz I, REGISTERED NURSE
• Mercy Health System Corporation
• Mercy Health System Corporation
• Mercy Health System Corporation
• Halle Merritt, DMD
• Melissa Kaye Miller, AGPCNP-BC

• College Health Registered Nurse in Whitewater, WI
• Providers in Whitewater, WI by specialty
• College Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.