Active NPI
Leticia Elise McCoy
- Community Health Worker
- Corte Madera, CA
National Provider Identifier
1710229547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 37 San Clemente Dr Apt 108
Corte Madera, CA 94925-3301 - Phone
- (415) 378-6061
- NPI assigned
- Mar 19, 2013
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
37 San Clemente Dr Apt 108
Corte Madera, CA 94925-3301
Mailing address
37 San Clemente Dr Apt 108
Corte Madera, CA 94925-3301
Phone (415) 378-6061
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1710229547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SAN CLEMENTE DR APT 108",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949253301",
"telephone_number": "415-378-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 SAN CLEMENTE DR APT 108",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949253301",
"telephone_number": "415-378-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "LETICIA",
"middle_name": "ELISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.