NICOLLETTE MCKINNON (NPI# 1518413475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518413475 |
| Entity Type | Individual |
| Full Name | NICOLLETTE MCKINNON |
| Credential | FNP-C |
| Practice Address |
150 Clinic Ave Suite 201 Carrollton GA 30117-4401 |
| Practice Telephone | 7708321488 |
| Practice Fax Number | 7708360051 |
| Mailing Telephone | 7708321488 |
| Mailing Fax Number | 7708360051 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN201390 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 CLINIC AVE SUITE 201 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394837 | Ki-hon Lin | Orthopaedic Surgery | 150 Clinic Ave, Ste 101, Carrollton, GA 30117-4401 | 2005-05-24 |
| 1265812531 | Emily M James | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117 | 2015-06-02 |
| 1275929184 | Wguas, LLC | Urology | 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 | 2015-04-08 |
| 1083011704 | Melanie Jordan | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2014-11-24 |
| 1235477571 | Jason Allen Peal | Specialist/Technologist, Other | 150 Clinic Ave, 101, Carrollton, GA 30117-4401 | 2013-01-22 |
| 1205158383 | David Allen Scruggs | Physician Assistant | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2010-02-17 |
| 1114185840 | Shomari Andre Ruffin | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-05-29 |
| 1427216449 | Taylor Brandon Cates | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-05-27 |
| 1598922106 | Felicia G Thomas | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2008-05-21 |
| 1760649370 | Jill S Jarrell | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
| 1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
| 1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
| 1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
| 1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
| 1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
| 1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
| 1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
| 1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
| 1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on NICOLLETTE MCKINNON.
| 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.