Active NPI
Shirley Jean McKinney, OTD, OTR
- Occupational Therapist
- Central City, NE
National Provider Identifier
1811199805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 905
- Practice address
- 1505 W Rd
Central City, NE 68826-8029 - Phone
- (402) 672-4518
- NPI assigned
- Jun 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 905 | NE | Primary |
| Occupational Therapist | 225X00000X | 01643 | IA | |
| Occupational Therapist | 225X00000X | 111664 | TX |
Addresses
Primary practice location
1505 W Rd
Central City, NE 68826-8029
Mailing address
1505 W Rd
Central City, NE 68826-8029
Phone (402) 672-4518
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 |
|---|---|---|---|
| 905 | NE | MD | Occupational Therapy Assistant |
| 01643 | IA | MD | Occupational Therapist |
| 111664 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811199805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 W RD",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688268029",
"telephone_number": "402-672-4518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W RD",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688268029",
"telephone_number": "402-672-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "SHIRLEY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "OTD, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "905",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01643",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central City, NE
- Litzenberg Memorial Merrick County (Litzenberg Memorial County Hospital)
- Litzenberg Memorial Merrick County (Litzenberg Memorial County Hospital)
- Lone Tree Medical Associates, P.C.
- Connie Loseke, LPN-C
- Steven Scot Mahnke, M.D.
- Brandon Lee McLaughlin, P.A.
- Merrick County (Palmer Clinic)
- Merrick Medical Center
- Merrick Medical Center
- Merrick Medical Center
Sources for this page
- 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.