Individual provider Active NPI

Anbrea Domika McCoy

  • Adult Companion
  • Washington, DC
National Provider Identifier
1295379816
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
M200067149234 Issued in MD
Practice address
140 T St NE
Washington, DC 20002-1579
Phone
(240) 353-7469
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X M200067149234 MD Primary

Addresses

Primary practice location

140 T St NE
Washington, DC 20002-1579

Mailing address

3810 Regency Pkwy Apt 301
Suitland, MD 20746-3317
Phone (240) 330-5653

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL uuhk

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

LicenseStateTypeSpecialty
M200067149234MDMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1295379816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 REGENCY PKWY APT 301",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207463317",
            "telephone_number": "240-330-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 T ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021579",
            "telephone_number": "240-353-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANBREA",
        "middle_name": "DOMIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MD",
            "license": "M200067149234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "uuhk",
            "affiliation": "N",
            "address_1": "140 T St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200021579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.