Jane P McKinney, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1760 Issued in FL

Practice address

3700 NW 83Rd St
Gainesville, FL 32606-5603

Phone

(352) 371-7546

Fax

(352) 335-7546

NPI assigned

Jul 21, 2006

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

Other identifiers 2

Other names 1

• Jane P McKinney Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Integrated Dermatology of Gainesville, LLC

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1588170591
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1851312565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357730",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357730",
            "telephone_number": "352-371-7546",
            "fax_number": "352-335-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW 83RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065603",
            "telephone_number": "352-371-7546",
            "fax_number": "352-335-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JANE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "DC1427",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00343361",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MCKINNEY",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sydney McKersie
• Patricia L McKey, ARNP
• Danielle McKimmy, PHARMD
• Aleah McKinney
• Areyon McKinney
• Jordan Asher McKinney, MD
• Tracy Lynn McKinney
• Jourdan Alexandra McKinnis, MD
• Gaila Michell McKnight
• Navorus McKnight

• Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.