Kimberly McCoy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212267 Issued in OK

Practice address

3801 NW 166TH St Ste 4
Edmond, OK 73012-9279

Phone

(405) 359-1122

Fax

(405) 359-1100

NPI assigned

Apr 3, 2023

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deer Creek Family Healthcare and Wellness Clinic LLCGroup PAC ID 6709007099, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Deer Creek Family Healthcare and Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Edmond, OK
  • NPI 1003227414
  Medicare reassignment Care Compare group NPD
• Affinity Care of Oklahoma LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1669190526
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1629773155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NW 166TH ST STE 4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129279",
            "telephone_number": "405-359-1122",
            "fax_number": "405-359-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NW 166TH ST STE 4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129279",
            "telephone_number": "405-359-1122",
            "fax_number": "405-359-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor McClure
• Darcy Cecelia McConnell, LPC, LADC
• April McCoy, M.A.
• Caitlin McCoy
• Chad McCoy, M.A.
• Laura McCoy
• PM Markie McCoy, DCSW LSW LMFT BCD
• Rebecca McCoy, MT-BC
• Brian Shawn McCullough, DPH
• Hope Samantha Rae McCullough

• Family Nurse Practitioner in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.
• 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.