DR. DIANA LOU MCCOY (NPI# 1508956616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508956616 |
Entity Type | Individual |
Full Name | DR. DIANA LOU MCCOY |
Credential | DNP DOCTOR OF NURSIN |
Practice Address |
2902 Mcfarland Rd Suite 202 Rockford IL 61107-6801 |
Mailing Address |
5409 Rudgate Court Rockford IL 61114-7705 |
Practice Telephone | 8153167300 |
Mailing Telephone | 8158771727 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-01-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 364S00000X | Clinical Nurse Specialist | 0000467033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364S00000X | Clinical Nurse Specialist | 209004872 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
Street Address |
2902 MCFARLAND RD SUITE 202 |
City | ROCKFORD |
State | IL |
Zip Code | 61107-6801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548242712 | Michael S Roh | Orthopaedic Surgery | 2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 | 2005-11-15 |
1306391255 | Cassie Mccall Alderks | Physical Therapist | 2902 Mcfarland Rd, Suite #300, Rockford, IL 61107-6801 | 2016-08-22 |
1689991713 | Rockford Pain Center Ltd | Anesthesiology | 2902 Mcfarland Rd, # 202, Rockford, IL 61107-6801 | 2010-04-29 |
1003057514 | Rsc Physical Therapy, LLC | Physical Therapist | 2902 Mcfarland Rd, Suite 201, Rockford, IL 61107-6801 | 2009-03-12 |
1700055308 | Phil Oliveri | Physical Therapist | 2902 Mcfarland Rd, Rockford, IL 61107-6801 | 2008-02-27 |
1124039391 | Rockford Spine Center, Ltd | Orthopaedic Surgery | 2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 | 2006-08-11 |
1801856380 | Thomas K Dahlberg | Anesthesiology | 2902 Mcfarland Rd, Ste 202, Rockford, IL 61107-6801 | 2006-03-27 |
1912989195 | Matthew Schwabero | Physician Assistant | 2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 | 2005-11-15 |
1619959897 | Christopher D Sliva | Orthopaedic Surgery | 2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 | 2005-11-15 |
1326020504 | Jeffrey T Behr | Orthopaedic Surgery | 2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 | 2005-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
Find all providers in zip 61107 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154881142 | Ashley Seyfert | Clinical Nurse Specialist | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2019-03-25 |
1093109043 | Dauphne Sims | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-03-26 |
1942437785 | Linda J Dries | Clinical Nurse Specialist | 1415 E State St, Suite 700, Rockford, IL 61104-2333 | 2009-06-19 |
1205990801 | Catherine A Gentz | Clinical Nurse Specialist | 1401 E State St, Rockford, IL 61104-2315 | 2006-12-20 |
1689774531 | Angeline L Brechlin | Clinical Nurse Specialist | 1415 E State St, Rockford, IL 61104-2333 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932728169 | Amy Lynn Katsikas | Clinical Nurse Specialist | 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 | 2020-04-08 |
1407349343 | Tina Marie Bauman | Clinical Nurse Specialist | 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 | 2018-06-13 |
1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
1821474388 | Deborah Ann Lawrence | Clinical Nurse Specialist | 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 | 2015-08-07 |
1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
1013398718 | Associated Physicians Group Ltd | Clinical Nurse Specialist | 4414 W Center Dr, Alton, IL 62002-5932 | 2015-06-18 |
1396148391 | Elizabeth Moon | Clinical Nurse Specialist | 252 Thrush Cir, Lindenhurst, IL 60046-7948 | 2014-10-03 |
1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
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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.