Active NPI
Nancy Ellen McCoy, AU.D.
- Audiologist-Hearing Aid Fitter
- Pasadena, CA
National Provider Identifier
1265467088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU834 HA2356
- Practice address
- 2623 E Foothill Blvd Ste 101
Pasadena, CA 91107-3466 - Phone
- (626) 796-4535
- Fax
- (626) 796-4935
- NPI assigned
- Jul 11, 2006
- Last updated
- Jun 9, 2016
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU834 HA2356 | CA | Primary |
Addresses
Primary practice location
2623 E Foothill Blvd Ste 101
Pasadena, CA 91107-3466
Mailing address
2250 Lake View Ave
Los Angeles, CA 90039-3636
Phone (323) 666-8813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0008340 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU834 HA2356 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audigycare, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| JSMB, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Vancouver, WA
- NPI 1720364920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1265467088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 LAKE VIEW AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900393636",
"telephone_number": "323-666-8813",
"fax_number": "323-666-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 E FOOTHILL BLVD STE 101",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073466",
"telephone_number": "626-796-4535",
"fax_number": "626-796-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "NANCY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU834 HA2356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0008340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.