Active NPI
Amber McKinnie, MSW
- Social Worker
- Beaverton, OR
National Provider Identifier
1851530570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 14195 SW Millikan Way
Beaverton, OR 97005-2307 - Phone
- (503) 644-2545
- Fax
- (503) 644-0379
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
14195 SW Millikan Way
Beaverton, OR 97005-2307
Mailing address
14195 SW Millikan Way
Beaverton, OR 97005-2307
Phone (503) 644-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1851530570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14195 SW MILLIKAN WAY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052307",
"telephone_number": "503-644-2545",
"fax_number": "503-644-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14195 SW MILLIKAN WAY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052307",
"telephone_number": "503-644-2545",
"fax_number": "503-644-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNIE",
"first_name": "AMBER",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.