Annette Elizabeth McKinney, D.C. LAC MSOM

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012941 Issued in IL

Practice address

1600 N Main St
Wheaton, IL 60187-3145

Phone

(630) 510-7799

NPI assigned

Mar 24, 2016

Last updated

Mar 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Path Wellness LLCGroup PAC ID 8628310877, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Path Wellness LLC

  • Chiropractor
  • Wheaton, IL
  • NPI 1700354206
  Medicare reassignment Care Compare group NPD
• Jodi H Kirsch DC,LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1184976896
  Medicare reassignment NPD

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552694400000",
    "number": "1912369349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873145",
            "telephone_number": "630-510-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873145",
            "telephone_number": "630-510-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "ANNETTE",
        "middle_name": "ELIZABETH",
        "credential": "D.C. LAC MSOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012941",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Jean McGrath
• Tiffany E McGuire
• Nathaniel Erick McIntyre, M.D.
• Maura Ann McKay, DO
• Callan McKinley
• Kristen K. McKnight, PSYD
• Kelli Maureen McLaurin
• Katie McMahan
• Kathleen M McMahon Manning, D.C.
• Ryan McNett

• Chiropractor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.