Active NPI
Taryn McCoy
- Family Nurse Practitioner
- Antioch, TN
National Provider Identifier
1720739196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33372
- Practice address
- 2717 Murfreesboro Pike # a
Antioch, TN 37013-2003 - Phone
- (615) 747-6035
- NPI assigned
- Jan 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 258779 | TN | |
| Family Nurse Practitioner | 363LF0000X | 33372 | TN | Primary |
Addresses
Primary practice location
2717 Murfreesboro Pike # a
Antioch, TN 37013-2003
Mailing address
2608 8TH Ave S Apt 405
Nashville, TN 37204-3160
Phone (815) 791-8575
Other practice location 1
820 Gale Ln
Nashville, TN 37204-3012
Phone (615) 298-5406
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 |
|---|---|---|---|
| 258779 | TN | MD | Registered Nurse |
| 33372 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siloam Family Health Center | Past | Accepting new patients |
Interoperability endpoints
- taryn.mccoy.1@20456.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Nashville, TN
- NPI 1578617411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1720739196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 8TH AVE S APT 405",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372043160",
"telephone_number": "815-791-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 MURFREESBORO PIKE # A",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370132003",
"telephone_number": "615-747-6035"
}
],
"practiceLocations": [
{
"address_1": "820 Gale Ln",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372043012",
"country_code": "US",
"telephone_number": "615-298-5406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "TARYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "258779",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.