Individual provider Active NPI

Tammy L McCoy, CRNP

  • Primary Care Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1124427687
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
021464 Issued in OH
Practice address
15655 State Route 170 Ste a
East Liverpool, OH 43920-9672
Phone
(330) 386-4303
Fax
(216) 229-2630
NPI assigned
Aug 20, 2014
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 SP014087 PA
Primary Care Nurse Practitioner 363LP2300X 021464 OH Primary

Addresses

Primary practice location

15655 State Route 170 Ste a
East Liverpool, OH 43920-9672

Mailing address

2000 Cliffmine Rd
PKW #2, Ste #110
Pittsburgh, PA 15275-1008
Phone (412) 494-4550

Other practice location 1

2000 Cliffmine Rd
PKW #2, Ste #110
Pittsburgh, PA 15275-1008
Phone (412) 494-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200814002633 OH Order and Referring Only - Nurse Practitioner 4587886106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014087PAMDFamily Nurse Practitioner
021464OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Veteran's Affairs PastSince Sep 17, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1124427687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CLIFFMINE RD",
            "address_2": "PKW #2, STE #110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751008",
            "telephone_number": "412-494-4550",
            "fax_number": "412-494-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 STATE ROUTE 170 STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209672",
            "telephone_number": "330-386-4303",
            "fax_number": "216-229-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Cliffmine Rd",
            "address_2": "PKW #2, STE #110",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152751008",
            "country_code": "US",
            "telephone_number": "412-494-4550",
            "fax_number": "412-494-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "TAMMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014087",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.