Denita Lynn McCoy, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R36785 Issued in NM

Practice address

3451 N Butler Ave
Farmington, NM 87401

Phone

(505) 566-1915

Fax

(505) 566-1918

NPI assigned

Dec 28, 2006

Last updated

Dec 12, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1134285778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012357",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DENITA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R36785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P6177",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mae McCarty, COTA
• Brent Anthony McCay, LPTA
• Lisa Anne McClain
• McClellan Therapy PC (Integrative Pelvic Health)
• Dan McClellan
• David W McCray, M.D.
• Katherine Rebecca McCrea, MS, APN
• Allen Wilson McCulloch, MD
• Jude Lee McDaniel
• Cathy Costlow McDonald, R.N.

• Family Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.