Beverly Jean McCoy, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

400630810607 Issued in OH

Practice address

4054 Okalona Rd
South Euclid, OH 44121-2624

Phone

(216) 780-7072

NPI assigned

Aug 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Beverly Jean Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1780964171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 OKALONA RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212624",
            "telephone_number": "216-780-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 OKALONA RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212624",
            "telephone_number": "216-780-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400630810607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "LEWIS",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Martin
• Brittney Maxey, FNP-BC
• Dawn Nicole McAlpine, HHA
• Jerimiah Immanuel McAlpine
• Courtney Lynn McAvinew, FNP-C
• Michelle McCrea, LPN
• Anissa Rayelle McDaniel
• Cassandra McDonald, CDCA
• Kelly Sharise McDonald, LPN
• Wdaniel McDonald, MSSW, LISW-S, LCSW

• Nurse's Aide in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.