Individual provider Active NPI

Kelsay Dawne McCoy

  • Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1508530767
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
226959 Issued in LA
Practice address
4203 Lisa St
Alexandria, LA 71302-2410
Phone
(318) 545-7845
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 226959 LA Primary

Addresses

Primary practice location

4203 Lisa St
Alexandria, LA 71302-2410

Mailing address

PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 209-4501

Other practice location 1

387 H Strange Rd
LeCompte, LA 71346-4765
Phone (660) 924-3436

Other practice location 2

1700 SW College Ave
Topeka, KS 66621-0001
Phone (785) 670-1525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809003518 LA Practitioner - Nurse Practitioner 5698157584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226959LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations (25 of 39)

2727 Jones Ave
Alexandria, LA 71302
Phone (318) 209-4510

4645 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7844

4500 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7843

4203 Lisa St
Alexandria, LA 71302
Phone (318) 545-7845

1319 Bush Ave
Alexandria, LA 71301

3100 Jones Ave
Alexandria, LA 71302

800 Ola St
Alexandria, LA 71303

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

601 Cloverleaf Blvd
Alexandria, LA 71303
Phone (318) 442-0878

3348 Highway 457
Alexandria, LA 71302

310 Richmond Dr
Alexandria, LA 71302

2905 Horseshoe Dr
Alexandria, LA 71301
Phone (318) 545-7847

505 Texas Ave
Alexandria, LA 71301
Phone (318) 704-6283

5700 Prescott Rd
Alexandria, LA 71301
Phone (318) 545-7846

122 Maryland Ave
Alexandria, LA 71301
Phone (318) 628-0088

3111 Jones Ave
Alexandria, LA 71302

4102 Wakefield Blvd
Alexandria, LA 71303

4800 Dawn St
Alexandria, LA 71301

2101 Vance Ave
Alexandria, LA 71301
Phone (318) 693-1303

4310 Pardue Rd
Ball, LA 71405
Phone (318) 545-6414

89 Camp Livingston Rd
Ball, LA 71405
Phone 3186480375228

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

646 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

642 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

7362 Highway 112
Elmer, LA 71424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1508530767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714831288",
            "telephone_number": "318-209-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 LISA ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713022410",
            "telephone_number": "318-545-7845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "387 H Strange Rd",
            "address_purpose": "LOCATION",
            "city": "LeCompte",
            "state": "LA",
            "postal_code": "713464765",
            "country_code": "US",
            "telephone_number": "660-924-3436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 SW College Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666210001",
            "country_code": "US",
            "telephone_number": "785-670-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KELSAY",
        "middle_name": "DAWNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "226959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.