Individual provider Active NPI

Harriet R. McCoy, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1104083120
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164592 Issued in VA
Practice address
5589 Greenwich Rd
Suite 175
Virginia Beach, VA 23462-6565
Phone
(757) 216-9115
Fax
(757) 216-9117
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024164592 VA Primary
Other Technician 247200000X

Addresses

Primary practice location

5589 Greenwich Rd
Suite 175
Virginia Beach, VA 23462-6565

Mailing address

5589 Greenwich Rd
Suite 175
Virginia Beach, VA 23462-6565
Phone (757) 216-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090512000640 VA Practitioner - Nurse Practitioner 2860541398 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinto Family Chiropractic, PLC CurrentSince Oct 12, 2022 Accepting new patients
Susan Archer, Inc CurrentSince Aug 12, 2021 Accepting new patients
Salters Creek Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Esprit Health Incorporated, LLC CurrentSince Oct 12, 2022 Accepting new patients
Neuro-Consultants.PC PastSince Jun 1, 2013 Accepting new patients
Tidewater Physicians Multispecialty Group PC PastSince Sep 1, 2004 Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Locations

4908 Dominion Blvd
Ste F
Glen Allen, VA 23060
Phone (804) 366-6609

183 Woodland Rd
Hampton, VA 23663
Phone (757) 723-1899

5408 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188
Phone (757) 220-8552

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1104083120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD",
            "address_2": "SUITE 175",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-216-9115",
            "fax_number": "757-216-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD",
            "address_2": "SUITE 175",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-216-9115",
            "fax_number": "757-216-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "HARRIET",
        "middle_name": "R.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164592",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.