SIDNEY M MCKINLEY FNP-BC NPI 1225287121

NPI Information

NPI: 1225287121
Provider Name: SIDNEY M MCKINLEY, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1911 JACKSON ST
MONROE, LA
ZIP 71202
Phone: (318) 615-0015
Get Directions

Sidney M Mckinley, FNP-BC is a family nurse practitioner in Monroe, LA with 16 years of experience. Sidney M Mckinley, FNP-BC NPI is 1225287121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1911 JACKSON ST
MONROE, LA
ZIP 71202-531
Phone: (318) 615-0015
Fax: (318) 330-7648

The NPI 1225287121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 4/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	05599	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020914	OTHER	LOUISIANA	LOUISIANA STATE BOARD OF NURSING PERSCRIPTIVE AUTHORITY
2	096467	OTHER	LOUISIANA	RN
3	05599	OTHER	LOUISIANA	ADVANCED PRACTICE
4	1348848	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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