Active NPI
Kimlyn McVay, RN
- Gerontology Registered Nurse
- Dothan, AL
National Provider Identifier
1962856286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- 1-131586
- Practice address
- 950 S Saint Andrews St
Dothan, AL 36301-3684 - Phone
- (334) 793-1177
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-131586 | AL | MD | Gerontology Registered Nurse |
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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 1-131586 | AL | Primary |
Addresses
Primary practice location
950 S Saint Andrews St
Dothan, AL 36301-3684
Mailing address
950 S Saint Andrews St
Dothan, AL 36301-3684
Phone (334) 793-1177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-131586 | Other | AL | ALABAMA BOARD OF NURSING |
| 9416827 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
NPI Registry JSON
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1962856286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S SAINT ANDREWS ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013684",
"telephone_number": "334-793-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S SAINT ANDREWS ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013684",
"telephone_number": "334-793-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVAY",
"first_name": "KIMLYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "AL",
"license": "1-131586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF NURSING",
"identifier": "1-131586",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "9416827",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.