Individual provider Active NPI

Kathryn Kraemer McCoy, CRNP

  • Pediatric Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1366609059
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R078281 Issued in MD
Practice address
35 N Summit Ave
Gaithersburg, MD 20877-2921
Phone
(301) 926-1628
Fax
(301) 208-7231
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R078281 MD Primary

Addresses

Primary practice location

35 N Summit Ave
Gaithersburg, MD 20877-2921

Mailing address

35 N Summit Ave
Gaithersburg, MD 20877-2921
Phone (301) 926-1628

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
R078281MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Montgomery County Maryland Government PastSince May 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathryn.mccoy.p3@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: kathryn.mccoy.p1@direct.mcg-hhs.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1366609059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N SUMMIT AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772921",
            "telephone_number": "301-926-1628",
            "fax_number": "301-208-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N SUMMIT AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772921",
            "telephone_number": "301-926-1628",
            "fax_number": "301-208-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KATHRYN",
        "middle_name": "KRAEMER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R078281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.