Angela K. McKinness, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AO1299 Issued in AR

Practice address

228 Tyler Suite 200
West Memphis, AR 72301-4257

Phone

(870) 735-1973

Fax

(870) 735-2204

NPI assigned

Mar 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Doctors Health Group, Inc

  • Family Medicine Physician
  • Piggott, AR
  • NPI 1649061201
  NPD (past)
• Infectious Disease and Control Consultants LLC

  • Infectious Disease Physician
  • Jonesboro, AR
  • NPI 1396782041
  NPD (past)
• St Bernards Hospital Inc.

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  NPD (past)
• Tyler Emergency Physicians

  • Emergency Medicine Physician
  • West Memphis, AR
  • NPI 1669416384
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1912974817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 TYLER SUITE 200",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014257",
            "telephone_number": "870-735-1973",
            "fax_number": "870-735-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 TYLER SUITE 200",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014257",
            "telephone_number": "870-735-1973",
            "fax_number": "870-735-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNESS",
        "first_name": "ANGELA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AO1299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1912974817",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140999758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Gregory McElyea, CASE MANAGER
• Charledria B McGee, DNP
• Tommy Lynn McGee, DDS
• Denzel McGregory
• Erin Kathryn McKewen
• Genesis Tiara McKinney
• Kimberly Jan McNeal, DMD
• Janet S McNeely
• Jasmine L McNeill
• Beunka Bra'Shawn McVay

• Family Nurse Practitioner in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.