Individual provider Active NPI

Megan McCoy Dale

  • Family Nurse Practitioner
  • Baker, LA
National Provider Identifier
1003596206
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230205 Issued in LA
Practice address
12902 Plank Rd
Baker, LA 70714-4911
Phone
(225) 774-0733
Fax
(225) 774-7777
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 230205 LA Primary

Addresses

Primary practice location

12902 Plank Rd
Baker, LA 70714-4911

Mailing address

12902 Plank Rd
Baker, LA 70714-4911
Phone (225) 774-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508003148 LA Practitioner - Nurse Practitioner 8820515224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
South Louisiana Primary Care, LLC 5 clinicians

Practice addresses (Care Compare)

12902 Plank Rd
Baker, LA 70714-4911
Phone (225) 774-0733

Hospital & facility affiliations

  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
230205LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Primary Care LLC CurrentSince May 1, 2025 Accepting new patients

Locations

12902 Plank Rd
Baker, LA 70714
Phone (225) 774-0733

3235 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 387-3030

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1003596206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144911",
            "telephone_number": "225-774-0733",
            "fax_number": "225-774-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144911",
            "telephone_number": "225-774-0733",
            "fax_number": "225-774-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "MEGAN",
        "middle_name": "MCCOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "230205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.