Ruthell Renee McKinney, F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6640-33 Issued in WI

Practice address

3136 N 21St St
Milwaukee, WI 53206-1723

Phone

(414) 807-3491

NPI assigned

Sep 4, 2015

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

Other names 1

• Ruthell Renee Johnson Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1861860983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 N 21ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061723",
            "telephone_number": "414-807-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 N 21ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061723",
            "telephone_number": "414-807-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "RUTHELL",
        "middle_name": "RENEE",
        "credential": "F.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6640-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTHELL",
            "last_name": "JOHNSON",
            "middle_name": "RENEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tameshia D McKinley
• Veneshia Nacole' McKinney-Whitson, M.D.
• Erica Nicole McKinney, PHD
• Lisa Michelle McKinney, RN
• Martin McKinney, M.D.
• Annette Renna McKnight
• Mary Marica McLachlan, MD
• Riva McLain, LPN
• Katie Agnes McLaughlin, M.S. CF-SLP
• Rachel Anna McLaughlin, CCC-SLP

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.

Verify at the official NPI Registry.