Jasmine T McKoy

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

3507 Kelburn Dr
Fayetteville, NC 28311-2094

Phone

(910) 605-8107

NPI assigned

Jul 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goal Digger Network LLC

  • Case Management Agency
  • Fayetteville, NC
  • NPI 1700499944
  NPD Authorized official
• JMD Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, NC
  • NPI 1801578158
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1366121964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 KELBURN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112094",
            "telephone_number": "910-605-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 KELBURN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112094",
            "telephone_number": "910-605-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "JASMINE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bourne McKithan, FNP-C, APRN, DNP
• Brionna McKiver, LCSWA
• Christel McKoy, LPCA
• Deonna McKoy
• Henrietta Elise McKoy
• Melinda Monica McKoy
• Sonjai McKoy
• Tawanda Latasha McKoy, CNAII
• Tawanna Nicole McKoy
• Taylor McKoy, DC

• Prosthetics Case Management in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.