Kelsay Dawne McCoy

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

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 39)

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.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  dba Grant Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Colfax, LA
  • NPI 1740601418
  NPD
• Winn Community Health Center, Inc.

  dba Acadian Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1518589456
  NPD (past)
• Winn Community Health Center, Inc.

  • Family Nurse Practitioner
  • Georgetown, LA
  • NPI 1972987105
  NPD (past)

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": []
}

• Sherwanda Nicole McClain
• Kenosha McClinton
• Debra Ann McConkey, APRN, FNP
• Angela McCorvey
• David M McCoy, M.D.
• Shannon McCue
• Katherine Elizabeth McDonald, P.A.
• Sarah Ann McDougal, LMT
• Kiona McDowell, RSW
• Kayla McFarland, MSW

• Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.

Verify at the official NPI Registry.