CRYSTAL MCCOY (NPI# 1992253090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992253090 |
| Entity Type | Individual |
| Full Name | CRYSTAL MCCOY |
| Credential | NP |
| Practice Address |
44946 Highway 17 Vernon AL 35592-3542 |
| Mailing Address |
11960 Highway 18 Vernon AL 35592-3542 |
| Practice Telephone | 2054316906 |
| Mailing Telephone | 2054316906 |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-110947 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
901772 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124443304 | Crystal Mccoy | Physical Therapy Assistant | 3250 Homestead Club Dr, Winston Salem, NC 27103-6787 | 2014-02-25 |
| Street Address |
44946 HIGHWAY 17 |
| City | VERNON |
| State | AL |
| Zip Code | 35592-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124529326 | Lamar Medical Clinic, LLC | Family Medicine | 44946 Highway 17, Vernon, AL 35592-5630 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649692922 | Amber Diane Pennington | Nurse Practitioner | 110 Medical Clinic Drive, Vernon, AL 35592 | 2014-01-06 |
| 1063848927 | Encore Rehabilitation, Inc. | Clinic/Center | 44992 Highway 17, Vernon, AL 35592 | 2013-09-23 |
| 1316276751 | Nancy R Kennedy | Counselor | 141 2nd Avenue, Nw, Vernon, AL 35592 | 2009-12-14 |
| 1164624086 | Lamar County | Local Education Agency (LEA) | 150 Butler Circle, Vernon, AL 35592 | 2007-06-04 |
| 1306964812 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 9574 Hwy 18, Vernon, AL 35592 | 2007-03-26 |
| 1609917707 | Lamar Home Care, Inc. | Home Health | 131 1st Ave. Nw, Suite B, Vernon, AL 35592 | 2007-02-09 |
| 1811066863 | Twin States Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 131 1st Avn. Nw, Vernon, AL 35592 | 2006-11-06 |
| 1669551677 | Larry Joe Whisenant | Dentist | 121 10th St Nw, Vernon, AL 35592 | 2006-11-02 |
| 1902814262 | Terry L Duke | Pharmacist | 170 5th Street Southwest, Vernon, AL 35592 | 2006-08-03 |
| 1992741284 | Robert William Davis | Family Medicine | 45020 Highway 17, Vernon, AL 35592 | 2006-06-22 |
| Find all providers in zip 35592 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885021 | Mary Margaret Thompson | Nurse Practitioner | 4301 College Dr Rm 700, Vernon, TX 76384-3166 | 2020-09-11 |
| 1790251668 | Stephania N Dawiczyk | Nurse Practitioner | 520 Hartford Tpke Ste M, Vernon, CT 06066-5044 | 2018-10-18 |
| 1427532993 | Milos Tomic | Nurse Practitioner | 27 Naek Rd Ste 2, Vernon, CT 06066-3965 | 2018-09-20 |
| 1376052860 | Mary Hazel Brantley | Nurse Practitioner | 4301 College Dr Rm 400, Vernon, TX 76384-3166 | 2017-09-27 |
| 1629462940 | Catherine Louise Francis | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2015-03-25 |
| 1649692922 | Amber Diane Pennington | Nurse Practitioner | 110 Medical Clinic Drive, Vernon, AL 35592 | 2014-01-06 |
| 1437162583 | James Kelly | Nurse Practitioner | 554 Talcottville Rd, Vernon, CT 06066-2310 | 2006-08-13 |
| 1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
| 1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
| 1215988134 | Jill A Myers | Nurse Practitioner | 4857 State Route 5, Vernon, NY 13476-3530 | 2006-05-15 |
| Find all providers in VERNON | ||||
Please comment or provide details below to improve the information on CRYSTAL MCCOY.
| 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.