Active NPI
Linda Trenett McCoy, FAMILY NURSE PRACTIT
- Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RS61665
- Practice address
- 2860 McDowell Road Ext
Jackson, MS 39204-4238 - Phone
- (601) 372-1117
- Fax
- (601) 373-3004
- NPI assigned
- Aug 16, 2011
- Last updated
- Aug 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RS61665 | MS | Primary |
Addresses
Primary practice location
2860 McDowell Road Ext
Jackson, MS 39204-4238
Mailing address
109 Sharanne Lane
Brandon, MS 39042
Phone (601) 672-9370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS61665 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonycares Complete Health Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Community Care Health Network LLC | Nurse Practitioner | Current | Accepting new patients |
| Patients Choice Medical Center of Humphreys County, LLC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
317 E Capitol St
Ste 200
Jackson, MS 39201
Phone (317) 510-0758
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
MS
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
Nurse Practitioner
-
- Critical Access Hospital
- Belzoni, MS
- NPI 1114951324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1750660163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHARANNE LANE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39042",
"telephone_number": "601-672-9370",
"fax_number": "601-991-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 MCDOWELL ROAD EXT",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044238",
"telephone_number": "601-372-1117",
"fax_number": "601-373-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "LINDA",
"middle_name": "TRENETT",
"name_prefix": "Mrs.",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "RS61665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.