DR. DEBORAH SUE MCKINNIS (NPI# 1528039278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528039278 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH SUE MCKINNIS |
| Credential | MD |
| Practice Address |
1344 22nd St S St Petersburg FL 33712-2744 |
| Mailing Address |
Po Box 10549 St Petersburg FL 33733-0549 |
| Practice Telephone | 7278248181 |
| Practice Fax Number | 7278248134 |
| Mailing Telephone | 7278248181 |
| Mailing Fax Number | 7278248134 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME57321 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 053248700 | 05 |
| Street Address |
1344 22ND ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531988 | James William Kenney | Chiropractor | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2005-10-07 |
| 1376155937 | Leidy Santos | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-08-17 |
| 1104440676 | Callie Ashlock | Nurse Practitioner | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-06-01 |
| 1477172393 | Jamekia Shonta Grant | Pharmacist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-04-10 |
| 1720623606 | Jonathan Corey Tanner | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-11-14 |
| 1447806484 | Joshua Colvin | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-08-15 |
| 1194283382 | Community Health Center of Pinellas Inc | Clinic/Center | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-03-06 |
| 1346749892 | Megan Marie Hindmon | Nurse Practitioner | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2018-02-09 |
| 1255859690 | Jenny Marie Bagg | Advanced Practice Midwife | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-09-06 |
| 1649792649 | Elizabeth Lynne Plumley | Advanced Practice Midwife | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104209758 | Jan S Bender Md, Pllc | Pediatrics | 6449 38th Ave N Ste G4, St Petersburg, FL 33710-1643 | 2015-07-01 |
| 1679821219 | Valerie Ann Cruz Flores | Pediatrics | 501 6th Ave S Ste 3100, St Petersburg, FL 33701-4634 | 2012-08-29 |
| 1932419074 | Elinor Miranda | Pediatrics | 3551 42nd Ave S, Ste 101, St Petersburg, FL 33711-4369 | 2010-10-07 |
| 1245465186 | Rhiannon Hickok | Pediatrics | 601 5th St S Ste 501, St Petersburg, FL 33701-4804 | 2009-05-21 |
| 1346495181 | Jorge Santiago Vidal | Pediatrics | 2096 Iowa Ave Ne, St Petersburg, FL 33703-3428 | 2008-11-20 |
| 1881854693 | Thien Trang Thi Tran | Pediatrics | 2701 54th Ave S, St Petersburg, FL 33712-4776 | 2008-06-15 |
| 1396919510 | Susan Darlyne Dibs | Pediatrics | 501 6th Ave S Dept, St Petersburg, FL 33701-4634 | 2008-04-18 |
| 1316152713 | Stephen G. Nelson, M.d., Pa | Pediatrics | 5601 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1205 | 2007-05-11 |
| 1649482001 | Boyd J Mullholand | Pediatrics | 2243 Mermaid Pt Ne, St Petersburg, FL 33703-3441 | 2007-05-05 |
| 1720101397 | Elizabeth Marie Brennan | Pediatrics | 601 5th St S Dept 6941, St Petersburg, FL 33701 | 2007-04-09 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on DR. DEBORAH SUE MCKINNIS.
| 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.