KENNETH D MCKINNEY (NPI# 1992732804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992732804 |
| Entity Type | Individual |
| Full Name | KENNETH D MCKINNEY |
| Credential | CRNA |
| Practice Address |
640 Jackson Street Mail Stop 11503p St Paul MN 55101-2502 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6512543456 |
| Practice Fax Number | 6512543048 |
| Mailing Telephone | 9528837961 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R1439201 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
640 JACKSON STREET MAIL STOP 11503P |
| City | ST PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306095336 | Chelsey Jane Tollefson-hauer | Social Worker | 640 Jackson Street, St Paul, MN 55101-2502 | 2008-09-15 |
| 1205085594 | Margaret Mary Gallus | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 21110q, St Paul, MN 55101-2502 | 2008-09-11 |
| 1942473335 | Heather Ellsworth | Emergency Medicine | 640 Jackson Street, Regions Hospital, St Paul, MN 55101 | 2008-04-08 |
| 1982763660 | Gwendolyn A Polaski | Physician Assistant | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-12-08 |
| 1750477626 | Carol C Hunter | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-10-05 |
| 1952408197 | Trent R Whitcomb | Physician Assistant | 640 Jackson Street, Mc 115031, St Paul, MN 55101-2502 | 2006-09-20 |
| 1992802060 | Steven G Kremer | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-09-20 |
| 1336250174 | Mitchell P Chermack | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-08-31 |
| 1386653889 | Rory S Kortan | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-08-05 |
| 1477580348 | Kristin M Sticha | Nurse Practitioner | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884799 | Christine M Kurzweg | Nurse Anesthetist, Certified Registered | 333 Smith St N, St Paul, MN 55102 | 2006-09-22 |
| 1447359427 | Kenneth C Fisher | Nurse Anesthetist, Certified Registered | 69 W Exchange St, St Paul, MN 55102 | 2006-09-22 |
| 1669420188 | Jason Derrick Tauzell | Nurse Anesthetist, Certified Registered | United Hospital, St Paul, MN 55102 | 2006-05-05 |
| 1700850997 | Martin W Coughlin | Nurse Anesthetist, Certified Registered | 393 Dunlap St, St Paul, MN 55104 | 2006-02-14 |
| 1497238604 | Todd Richard Molenaar | Nurse Anesthetist, Certified Registered | Regions Hospital, 640 Jackson Street Mail Stop 13901c, St Paul, MN 55101-2502 | 2018-09-13 |
| 1205085594 | Margaret Mary Gallus | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 21110q, St Paul, MN 55101-2502 | 2008-09-11 |
| 1750477626 | Carol C Hunter | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-10-05 |
| 1538250550 | Sarah K Lentz | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, St Paul, MN 55102 | 2006-09-27 |
| 1447341466 | Yanhong Liu | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, St Paul, MN 55102 | 2006-09-27 |
| 1003907023 | Robert A Lamppa | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, St Paul, MN 55102 | 2006-09-27 |
| Find all providers in ST PAUL | ||||
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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.