Lynn J. McKinley-Grant, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD16666 Issued in DC

Practice address

2041 Georgia Ave NW Towers Building Suite 4300
Washington, DC 20060

Phone

(202) 865-7504

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597

  Dermatology

  Medicare reassignment NPD
• Dermatology Associates, P.C.

  • Dermatology Physician
  • Washington, DC
  • NPI 1033390695
  NPD (past)
• Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1215582978
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1912952565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW TOWER 6101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW TOWERS BUILDING SUITE 4300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20060",
            "telephone_number": "202-865-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Wisconsin Ave",
            "address_2": "Suite 1275",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156901",
            "country_code": "US",
            "telephone_number": "301-941-8166",
            "fax_number": "301-941-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Wisconsin Ave",
            "address_2": "Suite 1275",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156901",
            "country_code": "US",
            "telephone_number": "301-941-8166",
            "fax_number": "301-941-8025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY-GRANT",
        "first_name": "LYNN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0034478",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD16666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010078474",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022642100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777121500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Scott McKernan, DDS
• Chandler Christopher McKesson-Davis
• Latrinia Teretha McKesson, HHA
• Nicole McKesson
• William McKindley-Ward, LGSW
• Katrice McKinley
• Kenneth Walter McKinley, M.D.
• Lakeisha D McKinley
• Reginald McKinley
• Arthur Lorenzo McKinney, D.D.S.

• Dermatology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Dermatology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.