KATHLEEN MARIE MCINNIS NNP
NPI 1003985342
Nurse Practitioner - Neonatal in San Antonio, TX

Q: What is Kathleen Mcinnis's NPI number?

The NPI number for Kathleen Mcinnis is 1003985342. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Kathleen Mcinnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Mcinnis was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2006

5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229(210) 541-8281(210) 541-9123 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kathleen Marie Mcinnis Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN MARIE MCINNIS NNP (NPI 1003985342) is an individual neonatal provider in San Antonio, Texas, licensed in Texas (253573) and active in the NPI registry since November 2006. She maintains a secondary practice location in Lackland A F B.

NPPES Registry Identity

NPI1003985342

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameKATHLEEN MARIE MCINNISCredential: NNP

Location Address5430 FREDERICKSBURG RD STE 508San Antonio, TX 78229-3561

Mailing Address5430 Fredericksburg Rd Ste 508San Antonio, TX 78229-3561 · (210) 541-8281 · Fax (210) 541-9123

Phone(210) 541-8281

Fax(210) 541-9123

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateJanuary 21, 2021

NPPES CertifiedJanuary 21, 2021

✔ NPI 1003985342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in TX · 253573

5430 FREDERICKSBURG RD STE 508, San Antonio, TX 78229

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Secondary Practice Location 1

Location 12200 Bergquist Dr Ste 1, ATTN Credentials (CMC)Lackland A F B, TX 78236-9908 · Phone (210) 292-6679

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAYLYN PRATT RANDALL PA

Physician Assistant