Organization Active NPI

Christy McCoy, LLC

  • Family Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1346429008
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018P Issued in KY
Legal business name
CHRISTY MCCOY, LLC
Practice address
2159 Chrisman Mill Rd
Nicholasville, KY 40356-9680
Phone
(859) 492-6783
Fax
(859) 879-9648
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mr. Steve McCoy, ARNP
Title
Owner
Phone
(859) 492-6783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 3018P KY Primary

Addresses

Primary practice location

2159 Chrisman Mill Rd
Nicholasville, KY 40356-9680

Mailing address

2159 Chrisman Mill Rd
Nicholasville, KY 40356-9680
Phone (859) 492-6783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000147 KY Part B Supplier - Clinic/Group Practice 7214984426 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

811 Corporate Dr
Lexington, KY 40503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1346429008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 CHRISMAN MILL RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569680",
            "telephone_number": "859-492-6783",
            "fax_number": "859-879-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 CHRISMAN MILL RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569680",
            "telephone_number": "859-492-6783",
            "fax_number": "859-879-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY MCCOY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-09-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-492-6783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.