Kelli Anne McCoy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

157676 Issued in CA

Practice address

937 Franklin Ave
Lemoore, CA 93246

Phone

(559) 998-4481

NPI assigned

May 2, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1982130605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "93246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "93246",
            "telephone_number": "559-998-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Medical Ctr",
            "address_2": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921345000",
            "country_code": "US",
            "telephone_number": "619-532-6474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "USNH Guantanamo Bay",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AA",
            "postal_code": "34009",
            "country_code": "US",
            "telephone_number": "757-458-2998 x72994",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "157676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syerli Manullang, RN
• Stephanie Diane Martin, REGISTERED NURSE
• Oralea Martinez
• Debra Sue Mattos
• Heather Leigh McCoy, RN
• Mary Ann McCoy, PHARMD.
• Stevie Cheyenne McFall, SUDC 1
• Bradly McKoski
• Jarah Noelle Mendez, PSY.D.
• Danielle Alise Mendoza Madrigal, LVN

• Pediatrics Physician in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.