Individual provider Active NPI

Brandi Michelle McCoy, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1740822543
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014001 Issued in KY
Practice address
279 E Main St
Hazard, KY 41701-1973
Phone
(606) 487-9505
Fax
(606) 436-0071
NPI assigned
Oct 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1134670 KY
Family Nurse Practitioner 363LF0000X 3014001 KY Primary

Addresses

Primary practice location

279 E Main St
Hazard, KY 41701-1973

Mailing address

65 Grassy Branch Rd
Essie, KY 40827-7041
Phone (606) 275-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200511001116 KY Practitioner - Nurse Practitioner 1850722703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mountain Health Alliance, Inc.Group PAC ID 8123112687, 20 clinicians

Practice addresses (Care Compare)

210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620
Phone (606) 436-0711

279 E Main St
Hazard, KY 41701-1973
Phone 6064879505309

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1134670KYMDRegistered Nurse
3014001KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mountain Health Alliance, Inc. CurrentSince Apr 20, 2020 Accepting new patients

Locations

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

279 E Main St
Ste 300
Hazard, KY 41701
Phone (606) 487-9505

279 E Main St
Hazard, KY 41701
Phone (606) 487-9505

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brandi.mccoy.p1@direct.kymha.nextgenshare.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1740822543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GRASSY BRANCH RD",
            "city": "ESSIE",
            "state": "KY",
            "postal_code": "408277041",
            "telephone_number": "606-275-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011973",
            "telephone_number": "606-487-9505",
            "fax_number": "606-436-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "BRANDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1134670",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.