RICHARD MCCOY (NPI# 1417285842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417285842 |
| Entity Type | Individual |
| Full Name | RICHARD MCCOY |
| Credential | RN |
| Practice Address |
2079 Edgewater Dr North Pekin IL 61554-7833 |
| Mailing Address |
2323 Windish Dr Galesburg IL 61401-9780 |
| Practice Telephone | 3093822006 |
| Practice Fax Number | 3093822007 |
| Mailing Telephone | 3093444250 |
| Mailing Fax Number | 3093444368 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041-361204 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790111631 | Richard Lee Mccoy | Counselor | 134 Cass St Ste 3, Woodstock, IL 60098-3208 | 2013-09-24 |
| 1023146669 | Richard David Mccoy | Hearing Instrument Specialist | 8111 176th Ln Nw, Anoka, MN 55303-5570 | 2007-03-02 |
| 1376536060 | Richard Everett Mccoy | Chiropractor | 181 N Virginia St, Suite 1, Crystal Lake, IL 60014-3433 | 2005-08-26 |
| 1578035895 | Richard Neil Mccoy | Nurse Practitioner | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2018-12-27 |
| 1902314511 | Richard Fitzgerald Mccoy | Nurse Practitioner | 221 5th Ave S, Glasgow, MT 59230-2600 | 2018-01-17 |
| 1437608247 | Richard Mccoy | Driver | 2595 County Highway 35, Schenevus, NY 12155 | 2016-09-22 |
| 1720460165 | Richard Mccoy | Dentist | 325 Mclaws Cir, Ste 1, Williamsburg, VA 23185-6341 | 2015-06-22 |
| 1578972378 | Richard Mccoy | Technician/Technologist | 1850 Boy Scout Dr, Unit 107, Fort Myers, FL 33907-2127 | 2014-08-05 |
| 1528280088 | Richard Michael Mccoy | Podiatrist | 2525 S Michigan Ave, Mercy Hospital and Medical Center, Chicago, IL 60616-2333 | 2007-05-03 |
| 1457418220 | Richard Bruce Mccoy | Counselor | 354 Cool Springs Blvd, 105, Franklin, TN 37067-7252 | 2007-01-02 |
| Street Address |
2079 EDGEWATER DR |
| City | NORTH PEKIN |
| State | IL |
| Zip Code | 61554-7833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| 1144380882 | Kevin Conroy | Dentist | 13 Oh Ave, Pekin, IL 61554 | 2006-12-11 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
| 1548892565 | Sonja K Negrean | Registered Nurse | 280 Shuman Blvd, Naperville, IL 60563-8492 | 2020-02-07 |
| 1134772353 | Theresa Jane Debord | Registered Nurse | 5835 State Route 154 # Address2, Pinckneyville, IL 62274-3418 | 2019-07-17 |
| 1740740653 | Cherise C Rosen | Registered Nurse | 110 Frank Lloyd Wright Ln, Oak Park, IL 60302-2616 | 2019-03-25 |
| 1821589706 | Virginie Nyancho | Registered Nurse | 1336 Court Leona, Hanover Park, IL 60133-5419 | 2018-05-25 |
| 1861848681 | Merry Carlson | Registered Nurse | 1120 N Farnsworth Ave Apt 1d, Aurora, IL 60505-2049 | 2016-05-11 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1215360763 | Debra A Foppe | Registered Nurse | 19125 State Route 127, Carlyle, IL 62231-5303 | 2013-08-19 |
| 1871817742 | Bente Clausen | Registered Nurse | 715 Lake St Ste 720, Oak Park, IL 60301-1416 | 2010-03-22 |
| 1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PEKIN |
| Zip Code | 61554 |
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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.