Jordan McCoy, MS, RD, RDN, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

158 Issued in WY

Practice address

618 Heather Lane
Ranchester, WY 82839

Phone

(307) 752-7280

NPI assigned

Mar 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as group

Quality

82.09

Promoting interoperability

98

Improvement activities

40

Cost

75.1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmccoy@sheridan.cernerdirect.com

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.

• Jordan McCoy Nutrition LLC

  • Registered Dietitian
  • Ranchester, WY
  • NPI 1376246173

  Dietitian, Registered

  NPD Authorized official
• Simply Dietetics, LLC

  • Registered Dietitian
  • Sheridan, WY
  • NPI 1124569959

  Dietitian, Registered

  NPD (past) Authorized official
• Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Casper, WY
  • NPI 1811909807
  NPD (past)

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1508282153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "DAYTON",
            "state": "WY",
            "postal_code": "828360542",
            "telephone_number": "307-752-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 HEATHER LANE",
            "city": "RANCHESTER",
            "state": "WY",
            "postal_code": "82839",
            "telephone_number": "307-752-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 10th Ave N",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010703",
            "country_code": "US",
            "telephone_number": "406-238-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012705",
            "country_code": "US",
            "telephone_number": "307-675-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 W 5th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012752",
            "country_code": "US",
            "telephone_number": "307-675-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JORDAN",
        "credential": "MS, RD, RDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "158",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "MED-NUTR-LIC-52027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccoy@sheridan.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "SHERIDAN MEMORIAL CLINICS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 W 5th St Ste 112",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roderick E Foley, MS, LPC
• Glennda Yvonne Grier, ARNP-CNP
• Ray F Hamilton, DDS
• Jordan McCoy Nutrition LLC
• Shaun Logan, D.M.D.
• Tongue River Valley Walk-in Clinic
• Yarrow Path Wellness LLC

• All providers in Ranchester, WY
• Registered Dietitian in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.