NPIMap

Individual provider Active NPI

Veronica McCoy, R.N, M.S.N., C.F.N.P

  • Family Nurse Practitioner
  • Marshall, TX
National Provider Identifier
1215032636
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
662441 Issued in TX
Practice address
805 Lindsey Dr
Marshall, TX 75670-5271
Phone
(903) 938-1146
Fax
(903) 927-1764
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health Clinic 55 clinicians

Practice addresses (Care Compare)

805 Lindsey Dr
Marshall, TX 75670-5271
Phone (903) 938-1146

Hospital & facility affiliations

  • Good Shepherd Homecare - Marshall Home health agency, Marshall, TX, CCN 458244
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516001323 TX Practitioner - Nurse Practitioner 5799908000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Border Health Clinic Current Accepting new patients
East Texas Border Health Clinic CurrentSince Aug 23, 2023 Accepting new patients
East Texas Border Health Clinic CurrentSince Aug 23, 2023 Accepting new patients
East Texas Border Health Clinic PastSince Sep 21, 2025 Accepting new patients
East Texas Border Health Clinic PastSince Sep 5, 2021 Accepting new patients

Locations

805 Lindsey Dr
Marshall, TX 75670
Phone (903) 927-6140

1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 662441 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

805 Lindsey Dr
Marshall, TX 75670-5271

Mailing address

PO Box 1326
Marshall, TX 75671-1326
Phone (903) 927-3782

Other names 1

NPPES NPI Registry
  • Veronica Smith Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2023.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1215032636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711326",
            "telephone_number": "903-927-3782",
            "fax_number": "903-927-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LINDSEY DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705271",
            "telephone_number": "903-938-1146",
            "fax_number": "903-927-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "VERONICA",
        "credential": "R.N, M.S.N., C.F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "662441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "SMITH",
            "credential": "R.N, M.S.N., C.F.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.