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DESHANTRA MCCOY
NPI 1730620600
Specialist - Prosthetics Case Management in Pine Bluff, AR

Active since March 13, 2017
1401 W 6TH AVE, PINE BLUFF, AR 71601(870) 377-4095 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deshantra Mccoy NPPES

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

DESHANTRA MCCOY (NPI 1730620600) is an individual prosthetics case management provider in Pine Bluff, Arkansas, licensed in Arkansas (143286) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1730620600
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameDESHANTRA MCCOY
Location Address1401 W 6TH AVEPine Bluff, AR 71601-3931
Mailing Address6720 Dollarway Rd Apt 22Pine Bluff, AR 71602-3459 · (870) 377-4095
Phone(870) 377-4095
Sole ProprietorNo
Enumeration DateMarch 13, 2017
✔ NPI 1730620600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in AR · 143286
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1401 W 6TH AVE, Pine Bluff, AR 71601
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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 Deshantra Mccoy's NPI number?

The NPI number for Deshantra Mccoy is 1730620600. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Where is Deshantra Mccoy located?

Deshantra Mccoy practices at 1401 W 6th Ave, Pine Bluff, AR 71601. The listed phone number is (870) 377-4095.

What is Deshantra Mccoy's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Deshantra Mccoy was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.