Active NPI
McKinnon Rheumatology Associates PLLC
- Rheumatology Physician
- Las Vegas, NV
National Provider Identifier
1821854340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- MCKINNON RHEUMATOLOGY ASSOCIATES PLLC
- Practice address
- 2400 S Cimarron Rd Ste 120
Las Vegas, NV 89117-7902 - Phone
- (725) 293-5101
- NPI assigned
- Feb 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naya McKinnon, MD
- Title
- Owner
- Phone
- (725) 293-5101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
2400 S Cimarron Rd Ste 120
Las Vegas, NV 89117-7902
Mailing address
7575 W Washington Ave # 127-160
Las Vegas, NV 89128-4333
Other names 1
- Direct Access Rheumatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240419002429 | NV | Part B Supplier - Clinic/Group Practice | 4981043122 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Las Vegas, NV
- NPI 1841229929
-
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- NPI 1821592684
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1346546785
-
- Family Medicine Physician
- Tampa, FL
- NPI 1285643486
-
- Neurology Physician
- Las Vegas, NV
- NPI 1730159385
-
- Medical Physician Assistant
- Slidell, LA
- NPI 1801143599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1821854340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 W WASHINGTON AVE # 127-160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S CIMARRON RD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177902",
"telephone_number": "725-293-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKINNON RHEUMATOLOGY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "MCKINNON",
"authorized_official_first_name": "NAYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-293-5101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Direct Access Rheumatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Direct Access Rheumatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.