Individual provider Active NPI

Jennifer J McCoy, DPM

  • Podiatrist
  • Sandy, UT
National Provider Identifier
1427067487
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
13346930-0501 Issued in UT
Practice address
9035 S 700 E Ste 200
Sandy, UT 84070-2412
Phone
(917) 331-9002
NPI assigned
Aug 7, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006067 NY
Podiatrist 213E00000X 13346930-0501 UT Primary

Addresses

Primary practice location

9035 S 700 E Ste 200
Sandy, UT 84070-2412

Mailing address

12257 S Placer St Unit 2901
Draper, UT 84020-2713
Phone (917) 331-9002

Other practice location 1

1125 Park Ave
New York, NY 10128-1243
Phone (212) 289-3338

Other identifiers 2

IdentifierTypeStateIssuer
0889694OtherCIGNA
5C5573OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070207000655 NY Practitioner - Podiatry 8527060334 Practice locations: New York, NY
I20231227002341 UT Practitioner - Podiatry 8527060334 Reassigns benefits to 2 organizations
Practice locations: Sandy, UT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadzoom Health LLCGroup PAC ID 3476954793, 26 clinicians

Practice addresses (Care Compare)

12257 S Placer St
Unit 2901
Draper, UT 84020-2713

3401 N Thanksgiving Way
Suite 190
Lehi, UT 84048-4157
Phone (859) 948-2390

9035 S 700
Suite 200
Sandy, UT 84070-2412
Phone (917) 331-9002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of nail tissue270
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006067NYMDPodiatrist
006067NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC Podiatrist CurrentSince Mar 24, 2025 Accepting new patients
Gadzoom Health LLC Podiatrist CurrentSince Sep 16, 2025 Accepting new patients
Galli Podiatric Foot and Ankle Associates,P.C PastSince Dec 1, 2012 Accepting new patients
Taylor G Wright PC Podiatrist PastSince Feb 1, 2023 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

1001 N 500 W
Provo, UT 84604
Phone (505) 320-9952

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1427067487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12257 S PLACER ST UNIT 2901",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202713",
            "telephone_number": "917-331-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 S 700 E STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702412",
            "telephone_number": "917-331-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281243",
            "country_code": "US",
            "telephone_number": "212-289-3338",
            "fax_number": "212-289-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006067",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "13346930-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0889694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "5C5573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.