Connie B McCoy, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP139633 Issued in TX

Practice address

7901 SW 34TH Ave
Amarillo, TX 79121-1057

Phone

(806) 350-7918

Fax

(806) 418-8982

NPI assigned

Nov 5, 2018

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmccoy710143@ahs.direct-ci.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/parmerm-39faebd5

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

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Parmer County Community Hospital Inc.

  dba Parmer Medical Center

  • Critical Access Hospital
  • Friona, TX
  • NPI 1861475626
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1063980316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272",
            "fax_number": "806-665-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SW 34TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211057",
            "telephone_number": "806-350-7918",
            "fax_number": "806-418-8982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 Perryton Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pampa",
            "state": "TX",
            "postal_code": "790652817",
            "country_code": "US",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Medi Park Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791062105",
            "country_code": "US",
            "telephone_number": "806-350-7918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CONNIE",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390933502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP139633",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah McCollum, M.D.
• Jerrod Heath McCollum, D.C.
• Michele McCollum
• Carrie McConnell, LCSW
• Heather Nicole McCown, OTR
• Lindsey Rene' McCrary, MSN, APRN, NP-C
• Sonya Renee McCubbin, PT
• Lois Jean McDonald, LMSW
• Mary Leeanne McDonough, LCSW
• Logan McDow

• Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.