Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Tyler McCoy

Individual provider Athletic Trainer · NPI 1306246095

Jordan Tyler McCoy is an Athletic Trainer in Omaha, Nebraska. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

2112 S 49th St
Omaha, NE 68106-3246
Phone: (402) 739-4583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1306246095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESAugust 29, 2014
Mailing address2112 S 49th St, Omaha, NE 68106-3246

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