Robert Charles Coy II, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPO47372 Issued in AZ

Practice address

20435 S Old Ellsworth Rd
Queen Creek, AZ 85142-9676

Phone

(480) 987-5940

Fax

(480) 987-3815

NPI assigned

Jul 22, 2024

Sex

Male

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

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1699503847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22148 E VIA DEL VERDE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428143",
            "telephone_number": "480-375-0216",
            "fax_number": "480-987-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20435 S OLD ELLSWORTH RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429676",
            "telephone_number": "480-987-5940",
            "fax_number": "480-987-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_suffix": "II",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LPO47372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Cotter, MD
• Zachary Cotter, DPT
• Michael Coulson, DPT
• Country Clinic PC
• Kandice L Cowherd
• Jeannie Craig
• Joseph Creech, DMD
• Creek View Manor
• Anastasia Cuenco
• James Cuillard

• Licensed Practical Nurse in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.