DERRON LAMARR MCCOY (NPI# 1215307145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215307145 |
| Entity Type | Individual |
| Full Name | DERRON LAMARR MCCOY |
| Practice Address |
9040 Reid Street, Attn: Mchj-clq-c Madigan Army Medical Center Tacoma WA 98431-1000 |
| Practice Telephone | 2539681110 |
| Practice Fax Number | 8778741031 |
| Mailing Telephone | 2539681110 |
| Mailing Fax Number | 8778741031 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 1769819 | Emergency Medical Service Providers |
| Street Address |
9040 REID STREET, ATTN: MCHJ-CLQ-C MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184070872 | Kristal Kay Kennedy | Licensed Practical Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-05-11 |
| 1780048710 | Donna Gayle Winters | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-06 |
| 1750745790 | Jessica Lynn Strickland | Licensed Practical Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-06 |
| 1407219983 | Lisa Amanda Auclair | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-01 |
| 1164883419 | Richard James Travis Jr. | Licensed Practical Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2016-03-15 |
| 1093176364 | Kimberly Taylor Ann Blair | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-03-15 |
| 1801257175 | Brittany Emily Parak | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-03-15 |
| 1528429826 | Alicia M Knapp | Emergency Medical Technician, Basic | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-03-14 |
| 1073974374 | Jordana Susanne Malace | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-03-14 |
| 1093175366 | Ashley Nicole Baker | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145868 | Shayne Leon Sparrow | Emergency Medical Technician, Paramedic | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2018-05-22 |
| 1366973653 | Amanda Jardin Mihail | Emergency Medical Technician, Paramedic | 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-27 |
| 1952859381 | Phoenix Rising Horn | Emergency Medical Technician, Paramedic | Madigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-09-14 |
| 1063878304 | James Anthony Mcmanamon | Emergency Medical Technician, Paramedic | 9040 Reid Street, Attn: Mchj-clq-c Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2015-12-31 |
| 1114397965 | Kaleb Joseph Twilligear | Emergency Medical Technician, Paramedic | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2015-10-05 |
| 1356733661 | Erick Thronson | Emergency Medical Technician, Paramedic | Madigan Army Medical Ctr, Dept of Emergency Medicine, Tacoma, WA 98431-0001 | 2015-02-23 |
| 1992145569 | Kenneth Allen Downs | Emergency Medical Technician, Paramedic | 9600 Veterans Dr, Tacoma, WA 98493-0001 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185163 | Eric Koreis | Emergency Medical Technician, Paramedic | 740 Commerce Ave, Longview, WA 98632-2416 | 2020-02-10 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1457807174 | Nathan Ziegman | Emergency Medical Technician, Paramedic | 4259 23rd Avenue West, Seattle, WA 98199 | 2016-09-01 |
| 1730534629 | Chance Shaffner | Emergency Medical Technician, Paramedic | 1117 14th St, Anacortes, WA 98221-2127 | 2016-04-27 |
| 1083084743 | Marcos Collazo | Emergency Medical Technician, Paramedic | 4259 23rd Ave W Ste 200, Seattle, WA 98199-1534 | 2015-10-06 |
| 1972994135 | Eric Perkins | Emergency Medical Technician, Paramedic | 14971 Deception Rd, Anacortes, WA 98221-8229 | 2015-02-10 |
| 1720484231 | Christopher John Washburn | Emergency Medical Technician, Paramedic | 6386 Chico Way Nw, Bremerton, WA 98312-1154 | 2014-11-10 |
| 1699187740 | Patrick Moe | Emergency Medical Technician, Paramedic | 5648 E Hillcrest Dr, Port Orchard, WA 98366-8120 | 2014-05-23 |
| 1194985499 | Lisa Hall | Emergency Medical Technician, Paramedic | 1505 Kal-ook-wah Drive, Taholah, WA 98587 | 2008-06-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.