Amber Jean McCoy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28142320A Issued in IN

Practice address

6114 Gate Tree Lane
Fort Wayne, IN 46835-2746

Phone

(260) 486-2880

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Amber Jean Reed Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1255698270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 GATE TREE LANE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352746",
            "telephone_number": "260-486-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 GATE TREE LANE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352746",
            "telephone_number": "260-486-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "AMBER",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.304895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28142320A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "REED",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "RN GXMO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Isaac McCord, NP
• James McCord
• Trevor McCorkle, LMHC
• Janetta Fae McCormick, LCSW
• Kathryn Yvette McCormick, COTA
• Kathleen Marie McCoy, RDMS, BS
• Kyla McCoy, RBT
• Natalie McCoy
• Whitney McCoy
• Colleen McCracken, DPT

• Family Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.