Jennifer McCoy, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

2948 Issued in CA

Practice address

28720 Canwood St Ste 108
Agoura Hills, CA 91301-9745

Phone

(805) 791-4812

NPI assigned

Oct 21, 2020

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

Credentials

Certified Nurse Specialist

Practice roles

Locations

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.

• Guided Care Inc.

  • Clinic/Center
  • Agoura Hills, CA
  • NPI 1609477165
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1386243228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 READ RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212219",
            "telephone_number": "805-791-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28720 CANWOOD ST STE 108",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913019745",
            "telephone_number": "805-791-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JENNIFER",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matian Dental Partners
• David Shervin Matian, DDS
• Kayo Matsumoto, MFTI
• Wendy McCain
• Patricia McCook, RPH
• Malin McKinley, B.A.
• Carol McManus
• Medi Mobile & Wound Care Inc
• Medi Mobile Group
• Froilan Padua Medina, RN, BSN, PHN

• Clinical Nurse Specialist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.