Susan McCoy

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

098488 Issued in MO

Practice address

1125 Madison St
Jefferson City, MO 65101-5227

Phone

(573) 632-5000

NPI assigned

Mar 7, 2015

Last updated

Mar 7, 2015By 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 1

Addresses

Other names 1

• Susan Elora Le Page Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425686400000",
    "number": "1518350123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 LAKEWOOD RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MADISON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015227",
            "telephone_number": "573-632-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MO",
            "license": "098488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LE PAGE",
            "middle_name": "ELORA",
            "credential": "RN, BSN, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacey Mays, D.C
• Jody Peter McAleer, DPM
• Rhett E McCarty, PSY.D.
• Donna K McCluskey, DO
• Todd D McCluskey, DO
• Robyn Marie McCullem, M.D.
• Connie McCullough, LPN
• Jennifer Lynn McCullough, MSW, LCSW
• Susan McCurren
• Amber McDonald, DPT

• Continuing Education/Staff Development Registered Nurse in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Continuing Education/Staff Development Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.