Kristen McCoy, RN

Primary specialty

Pediatric Oncology Registered NurseTaxonomy code 163WP0218X

License

765028 Issued in CA

Practice address

2279 45TH St
Sacramento, CA 95817-1514

Phone

(916) 734-2703

NPI assigned

Sep 4, 2024

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1194550772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SETUCKET CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 45TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171514",
            "telephone_number": "916-734-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KRISTEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "CA",
            "license": "765028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenesa Enet McCoy-Charles, RADT-1
• Cara Kathrine Koch McCoy, DPT
• Jessica McCoy, M.D.
• Julia McCoy
• Katherine Lynn McCoy
• Lia McCoy
• Ronald McCoy
• Sharon Kay McCoy, FNP
• Bonnie Frances McCracken, NURSE PRACTITIONER
• John D. McCracken, MD

• Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.