Individual provider Active NPI

Megan McComy

  • Family Nurse Practitioner
  • Charlotte Amalie, VI
National Provider Identifier
1295307684
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021016527 Issued in MO
Practice address
1303 Hospital Ground Ste 10
Charlotte Amalie, VI 00802-6722
Phone
(340) 774-9000
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021016527 MO Primary

Addresses

Primary practice location

1303 Hospital Ground Ste 10
Charlotte Amalie, VI 00802-6722

Mailing address

5776 Muir Castle LN
Saint Louis, MO 63129-4333
Phone (314) 221-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222001050 MO Order and Referring Only - Nurse Practitioner 1850807587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021016527MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1295307684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 MUIR CASTLE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294333",
            "telephone_number": "314-221-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HOSPITAL GROUND STE 10",
            "city": "CHARLOTTE AMALIE",
            "state": "VI",
            "postal_code": "008026722",
            "telephone_number": "340-774-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMY",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021016527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Amalie, VI

Sources for this page

Verify at the official NPI Registry.