WENDY MCKINNON (NPI# 1790051548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790051548 |
| Entity Type | Individual |
| Full Name | WENDY MCKINNON |
| Credential | APN |
| Practice Address |
1761 W Loop 281 Longview TX 75604-2734 |
| Mailing Address |
1107 E Marshall Ave Longview TX 75601-5602 |
| Practice Telephone | 9037582610 |
| Practice Fax Number | 9032127689 |
| Mailing Telephone | 9037582610 |
| Mailing Fax Number | 9037587081 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
648633 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861603227 | Wendy R Mckinnon | Massage Therapist | 813 D St, Suite 101, Anchorage, AK 99501-3525 | 2007-05-25 |
| 1881665529 | Wendy Clare Mckinnon | Genetic Counselor, MS | 112 Colchester Ave, Burlington, VT 05401-1417 | 2006-01-31 |
| Street Address |
1761 W LOOP 281 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562615 | Sidney L Redels | Emergency Medicine | 1761 W Loop 281, Longview, TX 75604-2734 | 2005-10-20 |
| 1275035941 | Sonseira Wilson | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2018-03-08 |
| 1376999813 | Patricia Griffin | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2016-05-13 |
| 1992161301 | Hillary Mitchell | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604 | 2016-01-14 |
| 1992161798 | Esther Gayle Ferrell | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2016-01-08 |
| 1932598752 | Longview Wellness Center Inc | Clinic/Center | 1761 W Loop 281, Longview, TX 75604-2734 | 2015-01-16 |
| 1265705453 | Karen Courville Torres | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2012-02-17 |
| 1437434099 | Stacy Leigh Wilkinson | Family Medicine | 1761 W Loop 281, Longview, TX 75604-2734 | 2011-10-14 |
| 1245514785 | Lacy Kennedy Eaton | Physician Assistant | 1761 W Loop 281, Longview, TX 75604-2734 | 2011-10-03 |
| 1265715254 | Tia Thomas | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2011-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
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| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784838 | Jennifer Nicole Skiles | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-05-08 |
| 1104328947 | Laura Childress | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-03-07 |
| 1487089108 | Sarah E Gough | Nurse Practitioner | 802 Medical Circle, Suite 100, Longview, TX 75605-5100 | 2013-09-12 |
| 1780987289 | Margaret M Dodson | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2010-12-06 |
| 1346556420 | Patricia Brooke Simmons | Nurse Practitioner | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 | 2010-08-26 |
| 1801100201 | Kathleen Anne Wirtz | Nurse Practitioner | 1655 Hudson St Ste 1, Longview, WA 98632-2949 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
| 1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
| 1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
| 1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
| 1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
| 1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
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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.