MRS. KIMBERLY MCCOY WHCNP NPI 1154326171

NPI Information

NPI: 1154326171
Provider Name: MRS. KIMBERLY MCCOY, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
115 MEDICAL CIR STE 103
ATHENS, TX
ZIP 75751
Phone: (903) 677-8453
Get Directions

MRS. Kimberly Mccoy, WHCNP is a women's health nurse practitioner in Athens, TX. MRS. Kimberly Mccoy, WHCNP NPI is 1154326171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 MEDICAL CIR STE 103
ATHENS, TX
ZIP 75751-004
Phone: (903) 677-8453
Fax: (903) 677-8454

The NPI 1154326171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 2/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	577946	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8F2066	MEDICARE PIN	TEXAS
2	178426602	MEDICAID	TEXAS
3	Q60329	MEDICARE UPIN	TEXAS
4	8S2732	OTHER	TEXAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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