GABRIEL MCKINNON


Address: 14550 Grandville Ave, Detroit, MI 48223-2231
Phone: 3134156151

GABRIEL MCKINNON (NPI# 1427617588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427617588
Entity Type Individual
Full Name GABRIEL MCKINNON
Credential LPN
Practice Address 14550 Grandville Ave
Detroit
MI 48223-2231
Practice Telephone 3134156151
Mailing Telephone 3134156151
Enumeration Date 2019-06-11
Last Update Date 2019-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 4703114910 MI Nursing Service Providers
N 372500000X Chore Provider Nursing Service Related Providers
N 374U00000X Home Health Aide Nursing Service Related Providers
N 405300000X Prevention Professional 4703114910 MI Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS 4703114910 01
MI 4703114910 05

Office Location

Street Address 14550 GRANDVILLE AVE
City DETROIT
State MI
Zip Code 48223-2231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366946659 From Heavens Joy Assisted Care Support Services LLC Social Worker 14179 Evergreen Rd, Detroit, MI 48223 2018-03-21
1164921144 Kyara Mccraney Licensed Practical Nurse 12725 Riverview St, Detroit, MI 48223 2018-02-06
1922516384 Cynthia Clair Reese Nursing Home Administrator 22625 Glendale, Det, MI 48223 2018-01-18
1629590609 Marie Davis Nursing Care 14049 Minock St, Detroit, MI 48223 2017-07-12
1740726488 Tanisha Smith Behavior Technician 14620 Faust Ave, Detroit, MI 48223 2017-01-18
1518418730 Tamica K Boyd Emergency Medical Technician, Basic 15890 Lamphere, Detroit, MI 48223 2016-10-24
1831596832 Walter Ector Counselor 14243 Minock, Detroit, MI 48223 2014-11-20
1336568542 Sheryl A Ali Registered Nurse 12811 Hazelton Street, Detroit, MI 48223 2014-04-15
1255667556 Abyssinia Love Knot Physical Therapy LLC Physical Medicine & Rehabilitation 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 2009-10-22
1629243902 Glenda Faye Smith Massage Therapist 15041 Faust, Detroit, MI 48223 2008-04-28
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861006538 David Bradley Licensed Practical Nurse 15540 Prevost St, Detroit, MI 48227-1963 2020-09-01
1215540430 Sheronda Lanetta Blackmon Licensed Practical Nurse 13929 Harper Ave., Detroit, MI 48213 2020-08-27
1518585504 Lesley Dixon Licensed Practical Nurse 16668 Freeland St, Detroit, MI 48235-4500 2020-07-07
1720607237 Nakesta Richardson Licensed Practical Nurse 9994 Bramell, Detroit, MI 48239-1304 2020-04-14
1962021477 Torie Shatita Taylor Licensed Practical Nurse 22556 W Mcnichols Rd, Detroit, MI 48219-3140 2020-04-14
1689203499 Tiffany Nicole Pierce Licensed Practical Nurse 8145 Greenfield Rd, Detroit, MI 48228-2220 2020-04-03
1750917118 Stephanie Renee Williams Licensed Practical Nurse 8919 Prest St, Detroit, MI 48228-2200 2020-03-18
1417581299 Valerie Adeyemi Licensed Practical Nurse 16559 Sorrento St, Detroit, MI 48235-4209 2020-03-02
1386276228 Vikita Franklin Licensed Practical Nurse 16575 Snowden St, Detroit, MI 48235-4274 2020-02-09
1033749387 Lachelle Mylinda Garrett Licensed Practical Nurse 18060 Gruebner St, Detroit, MI 48234-3854 2020-01-24
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Competitor

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City DETROIT
Zip Code 48223

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Dataset Information

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.

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