Roshawnda Lesette McCoy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010567 Issued in FL

Practice address

9591 Garden St
Jacksonville, FL 32219-1934

Phone

(334) 221-6193

NPI assigned

Jan 20, 2021

Sex

Female

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as group

Quality

70.52

Promoting interoperability

100

Improvement activities

40

Cost

73.91

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
• Direct secure messaging: roshawnda.mccoy.1@15644.direct.athenahealth.com

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.

• Florida Kidney Physicians, LLC

  • Nephrology Physician
  • Temple Terrace, FL
  • NPI 1760831564
  Medicare reassignment Care Compare group NPD
• Cardiorenal Therapeutics LLC

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1457917304
  Medicare reassignment NPD
• Florida Kidney Physicians , LLC

  • Nephrology Physician
  • Melbourne, FL
  • NPI 1205506722
  NPD
• Clinic for Kidney Diseases PA

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1467471672
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1740870054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9591 GARDEN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191934",
            "telephone_number": "334-221-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9591 GARDEN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191934",
            "telephone_number": "334-221-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ROSHAWNDA",
        "middle_name": "LESETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine McCoy, PSY.D.
• Lara Aileen McCoy, PA-C
• Lavetta A McCoy, RD, LD/N
• Lucille McCoy
• Natalla Shonay McCoy, AU.D
• Ryan McCoy, DPT
• Sakina McCoy, MS, LHC
• Shemeka McCoy
• Stacey McCoy, PHARMD,MS,BCPS
• Lavoshia Deon McCracken, CFA

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.