Active NPI
Lisa McCoy
- Family Nurse Practitioner
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28166970A
- Practice address
- 1130 Medical PL
Seymour, IN 47274-2640 - Phone
- (812) 522-1613
- NPI assigned
- Oct 23, 2015
- Last updated
- Nov 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28166970A | IN | |
| Family Nurse Practitioner | 363LF0000X | 28166970A | IN | Primary |
Addresses
Primary practice location
1130 Medical PL
Seymour, IN 47274-2640
Mailing address
1130 Ernest Dr
Seymour, IN 47274-3102
Phone (812) 525-9613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28166970A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Primary Care Physicians Midwest, S.C. | Nurse Practitioner | Current | Accepting new patients |
| Indiana Emergency Professionals PC | Nurse Practitioner | Current | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Locations
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
Interoperability endpoints
- lisa.mccoy.5@14940.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
Nurse Practitioner
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1528090610
Nurse Practitioner
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1366814857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 ERNEST DR",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472743102",
"telephone_number": "812-525-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 MEDICAL PL",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742640",
"telephone_number": "812-522-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28166970A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28166970A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.