MS. SAMANTHA CHARLETTA MCCOY LPN
NPI 1053943522
Licensed Practical Nurse in Saint Louis, MO

Q: What is Samantha Mccoy's NPI number?

The NPI number for Samantha Mccoy is 1053943522. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Q: What is Samantha Mccoy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Mccoy was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2020

5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112(314) 367-5820(314) 367-7010 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2025, May 26, 2025, Feb 12, 2020 (3 updates tracked since 2020).

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About Ms. Samantha Charletta Mccoy Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SAMANTHA CHARLETTA MCCOY LPN (NPI 1053943522) is an individual licensed practical nurse in Saint Louis, Missouri, licensed in Missouri (2006011721) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1053943522

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. SAMANTHA CHARLETTA MCCOYCredential: LPN

Location Address5471 DR MARTIN LUTHER KING DRSaint Louis, MO 63112-4265

Mailing Address5471 Dr Martin Luther King DrSaint Louis, MO 63112-4265 · (314) 367-5820 · Fax (314) 367-7010

Phone(314) 367-5820

Fax(314) 367-7010

Sole ProprietorNo

Enumeration DateFebruary 12, 2020

Last NPPES UpdateJune 26, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1053943522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MO · 2006011721

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedDoulaTaxonomy 374J00000X

5471 DR MARTIN LUTHER KING DR, Saint Louis, MO 63112

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CARLA DAUGHERTY DDS

Dentist

5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112

St. Louis City (314) 367-5820

MRS. JETUAN L ROWLEY-HERRON M.D.

Family Medicine

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

St. Louis City (314) 367-5820

MRS. ANDREA LASHELLE BRUCE LPN

Licensed Practical Nurse

5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112

St. Louis City (314) 367-5820

MRS. TERESITA AGUSTIN COMETA MD

Family Medicine

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

St. Louis City (314) 367-5820

DR. LAILA G. GABRAWY M.D.

Ophthalmology

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

St. Louis City (314) 367-5820

RODELYNN RICHEE LPN

Licensed Practical Nurse

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

St. Louis City (314) 367-5820

MRS. PAMELA LATONIA MARSHALL RPH

Pharmacist

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

St. Louis City (314) 367-5820

MRS. MARGARET CHINYERE NWAOBASI RN MSN

Registered Nurse

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

St. Louis City (314) 367-5820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Mccoy's NPI number?

The NPI number for Samantha Mccoy is 1053943522. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Samantha Mccoy located?

Samantha Mccoy practices at 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112. The listed phone number is (314) 367-5820.

What is Samantha Mccoy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Samantha Mccoy was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.