Active NPI
Tisheka Bell McCoy, QP
- Non-emergency Medical Transport (VAN)
- Wilson, NC
National Provider Identifier
1629808530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 28627661
- Practice address
- 5412 Kristin LN
Wilson, NC 27893-9231 - Phone
- (252) 640-7747
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 28627661 | NC | Primary |
Addresses
Primary practice location
5412 Kristin LN
Wilson, NC 27893-9231
Mailing address
5412 Kristin LN
Wilson, NC 27893-9231
Phone (252) 640-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28627661 | NC | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1629808530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 KRISTIN LN",
"city": "WILSON",
"state": "NC",
"postal_code": "278939231",
"telephone_number": "252-640-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 KRISTIN LN",
"city": "WILSON",
"state": "NC",
"postal_code": "278939231",
"telephone_number": "252-640-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "TISHEKA",
"middle_name": "BELL",
"credential": "QP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NC",
"license": "28627661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.