Crystal McCoy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-110947 Issued in AL

Practice address

44946 Highway 17
Vernon, AL 35592-3542

Phone

(205) 431-6906

NPI assigned

Sep 17, 2016

Last updated

Jun 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25441/brand/1/csg/1/fhir/r4

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.

• FMC Medical Clinic - Fayette LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1588141063
  Medicare reassignment NPD
• FMC Medical Clinic Millport

  • Family Medicine Physician
  • Millport, AL
  • NPI 1063871184
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment NPD
• Vernon Medical Center

  • Family Medicine Physician
  • Vernon, AL
  • NPI 1841950052
  NPD

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1992253090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 HIGHWAY 18",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355923542",
            "telephone_number": "205-431-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44946 HIGHWAY 17",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355923542",
            "telephone_number": "205-431-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CRYSTAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamar County Health Dept VFC Immun
• Lamar Family Medicine
• Lamar Home Care, Inc.
• Lamar Medical Clinic, LLC
• Larry J Whisenant PC
• Teresa Herren Mobley, R.PH.
• Paul C Myers, LPC
• Northwest Alabama Mental Health Center
• Northwest Alabama Mental Health Center
• Katlyn Bryant Norton, CRNP

• Family Nurse Practitioner in Vernon, AL
• Providers in Vernon, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.

Verify at the official NPI Registry.