Charmaine McKinley

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

89821 Issued in SC

Practice address

919 True St Ste B5
Columbia, SC 29209-1662

Phone

(803) 665-0361

NPI assigned

Nov 15, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1851993752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 VERMILLION DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 TRUE ST STE B5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091662",
            "telephone_number": "803-665-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "CHARMAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "89821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Themanechichairclinic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure Information and patient files",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "919 True St Ste B5",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292091662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Matthew McKethan, LISW-CP
• Anna Forrest McKie, PA - C
• Dionne McKie
• Melanie McKie, LMSW
• Rodney McKie Jr.
• McKinney Behavioral Health LLC
• Emily Ann McKinney, PA-C
• Harry Don McKinney Jr., M.D.
• Margaret A McKinney
• Marnette Perdergrass McKinney, M.A. CCC SLP

• Prosthetics Case Management in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.