Barbara W McCoy, MIDWIFE, WHNP
Individual provider Active NPI Midwife · Shreveport, LA
NPI 1801935580 · NPPES record last updated Mar 6, 2015
Key facts
- NPI
- 1801935580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 033445-1359 (LA)
- Practice address
- 1525 Fairfield Ave Ste 569
Shreveport, LA 71101-4331 - Phone
- (318) 676-7489
- Fax
- (318) 676-7560
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031118000982 | LA | Practitioner - Certified Nurse Midwife (CNM) | 4688588098 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033445-1359 | LA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NRMC Physician Ipa Inc | Current | Accepting new patients | |
| NRMC Physician Ipa Inc | Current |
Accepting new patients | |
| Summit OB GYN LLC | Current |
Accepting new patients | |
| NRMC Physician Ipa Inc | Current |
Accepting new patients | |
| NRMC Physician Ipa Inc | Past | Accepting new patients |
Locations
655 Bienville Cir
Natchitoches, LA 71457
Phone (318) 238-3652
627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773
501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 033445-1359 | LA | Yes |
Addresses
Primary practice location
1525 Fairfield Ave Ste 569
Shreveport, LA 71101-4331
Mailing address
1525 Fairfield Room 569
Shreveport, LA 71101
Phone (318) 676-7489
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.