Active NPI
Hannalore Stanton McCoy, RDN
- Registered Dietitian
- Barksdale Afb, LA
National Provider Identifier
1245991728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3825
- Practice address
- 855 Davis Ave E
BLDG 6603
Barksdale Afb, LA 71110 - Phone
- (580) 213-6754
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3825 | LA | Primary |
Addresses
Primary practice location
855 Davis Ave E
BLDG 6603
Barksdale Afb, LA 71110
Mailing address
855 Davis Ave E
BLDG 6603
Barksdale Afb, LA 71110
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3825 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1245991728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 DAVIS AVE E",
"address_2": "BLDG 6603",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "71110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 DAVIS AVE E",
"address_2": "BLDG 6603",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "71110",
"telephone_number": "580-213-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "HANNALORE",
"middle_name": "STANTON",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "3825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.