Provider Demographics
NPI:1760893192
Name:MCKINNEY, ARIKA (RN)
Entity Type:Individual
Prefix:
First Name:ARIKA
Middle Name:
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9434 KATY FWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6378
Mailing Address - Country:US
Mailing Address - Phone:713-516-1572
Mailing Address - Fax:281-599-9190
Practice Address - Street 1:9434 KATY FWY
Practice Address - Street 2:SUITE 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6378
Practice Address - Country:US
Practice Address - Phone:713-516-1572
Practice Address - Fax:281-599-9190
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX827974171M00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management