MARTHA JO MCKINNEY (NPI# 1003060203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003060203 |
| Entity Type | Individual |
| Full Name | MARTHA JO MCKINNEY |
| Credential | APN |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Practice Telephone | 4794434301 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
S02218 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436104 | Martha Louise Mckinney | Pediatrics | 103 Hospital Dr, Pediatric Respirology, Saskatoon, SK S7N 0W8 | 2020-08-04 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568414191 | Andrew B. Sieff | Clinical Nurse Specialist | 111 E Davidson St, Fayetteville, AR 72701-3413 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540851 | Stanley Chima | Clinical Nurse Specialist | 3001 Gemstone Cv, Sherwood, AR 72120-4273 | 2020-08-24 |
| 1942395330 | Lisabeth Hoffman | Clinical Nurse Specialist | 1716 West Searcy Street, Heber Springs, AR 72543 | 2006-10-03 |
| 1639198229 | Sherry Armstrong | Clinical Nurse Specialist | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2006-07-18 |
| 1427048677 | Sherri G. Parks | Clinical Nurse Specialist | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2005-10-27 |
| 1669853081 | Arkansas Adult Psychotherapy Center, Pllc | Clinical Nurse Specialist | 5401 Jfk, Suite G, North Little Rock, AR 72116-6756 | 2015-06-11 |
| 1366882417 | Carol D Campbell Inc | Clinical Nurse Specialist | 211 W High St, Sheridan, AR 72150-2118 | 2013-07-02 |
| 1952642050 | North Arkansas Regional Medical Center | Clinical Nurse Specialist | 620 N Main St, Harrison, AR 72601-2911 | 2013-03-14 |
| 1174679377 | Melanie Jean Sterling | Clinical Nurse Specialist | 2796 S 2nd St Ste E, Cabot, AR 72023-7043 | 2007-01-28 |
| 1982700639 | Katherine Malinda Barger | Clinical Nurse Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-16 |
| 1386651594 | Margaret Ann Anderson | Clinical Nurse Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.