Michelle Eberley McKernan, FCPI

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1355 50TH St
Suite 100
West Des Moines, IA 50266-1617

Phone

(515) 225-3261

Fax

(515) 225-1944

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitae Family Care Clinic, L.L.C.

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1386909331
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1790030401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 50TH ST",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661617",
            "telephone_number": "515-225-3261",
            "fax_number": "515-225-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 50TH ST",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661617",
            "telephone_number": "515-225-3261",
            "fax_number": "515-225-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERNAN",
        "first_name": "MICHELLE",
        "middle_name": "EBERLEY",
        "name_prefix": "Mrs.",
        "credential": "FCPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parrish D McGhee Jr.
• Margaret McGill, LISW
• Michelle Ann McGregor
• Macy McKendree, LMSW
• Gregory C McKernan, D.O.
• Kristen Ann McKibban
• Suzanne Jessica McKinley, LMHC
• Brittan Amanda McKinney, PA-C
• Brooklynn McKinney
• Javine Horani McLaughlin, MD, FACOG

• Specialist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.