Active NPI
Elizabeth McKinnon, RNFA
- Registered Nurse First Assistant
- Carthage, NY
National Provider Identifier
1942045125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 814890-01
- Practice address
- 1001 West St
Carthage, NY 13619-9776 - Phone
- (315) 493-1000
- NPI assigned
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 814890-01 | NY | Primary |
Addresses
Primary practice location
1001 West St
Carthage, NY 13619-9776
Mailing address
36665 State Route 3
Carthage, NY 13619-3337
Phone (989) 415-3967
Other practice location 1
830 Washington St
Watertown, NY 13601-4099
Phone (315) 785-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814890-01 | NY | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1942045125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36665 STATE ROUTE 3",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136193337",
"telephone_number": "989-415-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WEST ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136199776",
"telephone_number": "315-493-1000"
}
],
"practiceLocations": [
{
"address_1": "830 Washington St",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "NY",
"postal_code": "136014099",
"country_code": "US",
"telephone_number": "315-785-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINNON",
"first_name": "ELIZABETH",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "NY",
"license": "814890-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.