Nurse Practitioner
MEDSUR ONE TELEMEDICINE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1568098937 · enumerated 2020-03-18 · record updated 2020-03-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KATHLEEN MCCOY Nurse Practition, Manager · (512) 364-2151
Addresses and phones
- Mailing address 1309 COFFEEN AVENUE STE 1200, SHERIDAN, WY, 82801 (307) 655-1666 Fax (512) 651-4666 Google Maps Apple Maps OpenStreetMap
- Practice location 110 EISENHOWER COURT (ADMINISTRATIVE OFFICE LOCATION), 1309 COFFEEN AVE STE 1200 SHERIDAN WY 82801, GEORGETOWN, TX, 78633 (307) 655-1666 Fax (512) 651-4666 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Adult Health 363LA2200X
- Nurse Practitioner, Gerontology 363LG0600X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
GEORGETOWN, TX, 78633
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.