NICKYSHA MCKOY LPN
NPI 1437796737
Licensed Practical Nurse in Statesville, NC

Q: What is Nickysha Mckoy's NPI number?

The NPI number for Nickysha Mckoy is 1437796737. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Q: What is Nickysha Mckoy'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 Nickysha Mckoy was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 05, 2019

524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 871-1045(704) 873-8638 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2019, Dec 5, 2019 (2 updates tracked since 2019).

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About Nickysha Mckoy Lpn NPPES

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

NICKYSHA MCKOY LPN (NPI 1437796737) is an individual licensed practical nurse in Statesville, North Carolina, licensed in North Carolina (59802) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1437796737

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNICKYSHA MCKOYCredential: LPN

Location Address524 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391

Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173

Phone(704) 871-1045

Fax(704) 873-8638

Sole ProprietorNo

Enumeration DateDecember 5, 2019

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1437796737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NC · 59802

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.

524 SIGNAL HILL DRIVE EXT, Statesville, NC 28625

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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.

AMY ALEXANDER RN

Registered Nurse