Kristy Renee McComic, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

070301 Issued in LA

Practice address

1585 3Rd Street Building 285
Attention: Credentials, Room 7064
Fort Polk, LA 71459

Phone

(337) 531-3561

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1114517406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 3RD ST BLDG 285",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3561",
            "fax_number": "337-531-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD STREET BUILDING 285",
            "address_2": "ATTENTION: CREDENTIALS, ROOM 7064",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "337-531-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMIC",
        "first_name": "KRISTY",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "LA",
            "license": "070301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denzel Massey, MD
• Tammy K Mayer, RN, MPH
• Ronald Kane McAndrew, DPT
• Kristy McCann, DVM
• Haley McCarty
• Kevin McDowell
• Billy Jason McGhee, RN
• John Michael McKelvey Jr., DDS
• Jalynn McKenzie
• Charity Ann McKinney, LCSW

• Case Management Registered Nurse in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Case Management Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.