Active NPI
Missiouri D McCoy
- Family Nurse Practitioner
- Grand Junction, CO
National Provider Identifier
1215314745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0991762-NP
- Practice address
- 2643 Patterson Rd
Ste 403
Grand Junction, CO 81506-1936 - Phone
- (970) 298-7662
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0991762-NP | CO | Primary |
Addresses
Primary practice location
2643 Patterson Rd
Ste 403
Grand Junction, CO 81506-1936
Mailing address
2635 N 7TH St
SMMG CVTS
Grand Junction, CO 81501-8209
Phone (970) 298-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Hospital and Medical Center, Inc | Past | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1215314745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"address_2": "SMMG CVTS",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2643 PATTERSON RD",
"address_2": "STE 403",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815061936",
"telephone_number": "970-298-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MISSIOURI",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991762-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.