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DATISIA M MCCOY
NPI 1144811027
Nurse's Aide in Kentwood, MI

Active since February 02, 2021
4674 STAUFFER AVE SE, KENTWOOD, MI 49508(616) 856-0556 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Datisia M Mccoy NPPES

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

DATISIA M MCCOY (NPI 1144811027) is an individual nurse's aide in Kentwood, Michigan, licensed in Michigan (230009775470405) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1144811027
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameDATISIA M MCCOY
Location Address4674 STAUFFER AVE SEKentwood, MI 49508-5018
Mailing AddressPo Box 8331Kentwood, MI 49518-8331 · (616) 856-0556
Phone(616) 856-0556
Sole ProprietorYes
Enumeration DateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
✔ NPI 1144811027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in MI · 230009775470405
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
4674 STAUFFER AVE SE, Kentwood, MI 49508
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Datisia Mccoy's NPI number?

The NPI number for Datisia Mccoy is 1144811027. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Datisia Mccoy located?

Datisia Mccoy practices at 4674 Stauffer Ave SE, Kentwood, MI 49508. The listed phone number is (616) 856-0556.

What is Datisia Mccoy's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Datisia Mccoy was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.