Individual provider Active NPI

Charity McCoy, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1669853156
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.19008-NP Issued in OH
Practice address
4966 Glenway Ave
Cincinnati, OH 45238-3905
Phone
(513) 242-7164
Fax
(513) 244-2160
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010096 KY
Family Nurse Practitioner 363LF0000X 71006234A IN
Family Nurse Practitioner 363LF0000X COA.19008-NP OH Primary

Addresses

Primary practice location

4966 Glenway Ave
Cincinnati, OH 45238-3905

Mailing address

4966 Glenway Ave
Cincinnati, OH 45238-3905
Phone (513) 242-7164

Other identifiers 1

IdentifierTypeStateIssuer
3010096OtherKYKY LICENSE

Other names 1

  • Charity Paul Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160720000652 OH Practitioner - Nurse Practitioner 7810280443 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006234AINMDFamily Nurse Practitioner
3010096KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accudoc Inc PC CurrentSince May 8, 2016 Accepting new patients
Talbert House CurrentSince Oct 24, 2022 Accepting new patients
Talbert House Primary Care CurrentSince Oct 24, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

20 Alpine Dr
Batesville, IN 47006
Phone (812) 932-3224

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

4966 Glenway Ave
Cincinnati, OH 45238
Phone (513) 242-7164

3009 Burnet Ave
Cincinnati, OH 45219
Phone (513) 242-7164

620 Ring Rd
Harrison, OH 45030
Phone (513) 202-9600

Organizations & group practices 4

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1669853156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383905",
            "telephone_number": "513-242-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383905",
            "telephone_number": "513-242-7164",
            "fax_number": "513-244-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CHARITY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010096",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006234A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.19008-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "3010096",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "PAUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.