Active NPI
The McCoy Institute of Hearing and Balance,LLC
- Audiologist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1758
- Legal business name
- THE MCCOY INSTITUTE OF HEARING AND BALANCE,LLC
- Practice address
- 1922 University Blvd S
Jacksonville, FL 32216-8933 - Phone
- (904) 318-3763
- Fax
- (904) 212-0665
- NPI assigned
- Jan 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natalla S McCoy, AU.D.
- Title
- Clinical Director
- Phone
- (904) 864-8594
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Audiologist | 231H00000X | AY1758 | FL | Primary |
| Dental Clinic/Center | 261QD0000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| VA Clinic/Center | 261QV0200X | |||
| Military Clinical Medical Laboratory | 291900000X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Dental Laboratory | 292200000X | |||
| Hearing Aid Equipment | 332S00000X |
Addresses
Primary practice location
1922 University Blvd S
Jacksonville, FL 32216-8933
Mailing address
1922 University Blvd S
Jacksonville, FL 32216-8933
Phone (904) 318-3763
Other names 1
- McCoy Institute of Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5114 San Juan Ave
Jacksonville, FL 32210
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1619655651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Jacksonville, FL
- NPI 1558619452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685059200000",
"number": "1003239872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168933",
"telephone_number": "904-318-3763",
"fax_number": "904-212-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168933",
"telephone_number": "904-318-3763",
"fax_number": "904-212-0665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MCCOY INSTITUTE OF HEARING AND BALANCE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-29",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "NATALLA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "904-864-8594",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "FL",
"license": "AY1758",
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": false
},
{
"code": "291900000X",
"taxonomy_group": "",
"desc": "Military Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "292200000X",
"taxonomy_group": "",
"desc": "Dental Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McCoy Institute of Health",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.