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NPI Code Detail

MEDICARE: ANDREA HAYDN COY

MEDICARE: ANDREA HAYDN COY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2024024803MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467201897
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HAYDN COY
Provider Business Mailing Address
First Line : 5804 S 16TH ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64504-1824
Country : US
Telephone Number : 816-248-9439
Fax Number : 816-271-1333
Provider Business Practice Location Address
First Line : 5210 N BELT HWY
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-1211
Country : US
Telephone Number : 816-271-1330
Fax Number : 816-271-1333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2024
Last Update Date : 12/08/2025

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Directions to “ ANDREA HAYDN COY ” Practice Location

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