Individual provider Active NPI

Sandra Jean McCoy, RN, CBN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1083645998
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP106313 Issued in TX
Practice address
2101 Teakwood LN Ste 300
Plano, TX 75075-4420
Phone
(214) 396-4916
Fax
(972) 474-1370
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 436534 TX
Family Nurse Practitioner 363LF0000X AP106313 TX Primary

Addresses

Primary practice location

2101 Teakwood LN Ste 300
Plano, TX 75075-4420

Mailing address

2101 Teakwood LN Ste 300
Plano, TX 75075-4420
Phone (214) 725-0716

Other names 1

  • Sandy Jean McCoy Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040719000046 TX Practitioner - Nurse Practitioner 5395724884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 Teakwood LN
Suite 300
Plano, TX 75075-4407
Phone (214) 396-4916

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP106313TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Believe Bariatrics and Primary Care, PC Family CurrentSince Mar 25, 2019 Accepting new patients
Texas Em-1 Medical Services, PA Nurse Practitioner Past Accepting new patients
Shawnee Trail Emergency Physicians Past Accepting new patients
National Rehabilitation Physicians PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Motley Emergency Physicians Past Accepting new patients
Texas Em-1 Medical Services PA Nurse Practitioner Past Accepting new patients

Locations

2603 Oak Lawn Ave
Ste 101
Dallas, TX 75219
Phone (214) 219-4000

2101 Teakwood Ln
Ste 300
Plano, TX 75075
Phone (214) 396-4916

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDHBD/Endpoint/FEDHBD

Organizations & group practices 7

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 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1083645998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 TEAKWOOD LN STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754420",
            "telephone_number": "214-725-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TEAKWOOD LN STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754420",
            "telephone_number": "214-396-4916",
            "fax_number": "972-474-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN, CBN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "436534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP106313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "MCCOY",
            "middle_name": "JEAN",
            "credential": "RN, CBN, MSN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.