Provider Demographics
NPI:1891057964
Name:MCGINNIS, TONI R (NP)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:R
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:R
Other - Last Name:COZAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:119 N ASH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MO
Practice Address - Zip Code:65622-8590
Practice Address - Country:US
Practice Address - Phone:417-269-2200
Practice Address - Fax:417-269-2202
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012016687363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP01094297OtherRR MCR
MO431560263OtherTRICARE
MO1891057964Medicaid
MO132300234Medicare PIN