Active NPI
Connie Hays Coddington
- Religious Nonmedical Practitioner
- Brookfield, WI
National Provider Identifier
1003105156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Practitioner
- Practice address
- 1165 Club Cir
Suite Number 307N
Brookfield, WI 53005-6981 - Phone
- (262) 785-6789
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Practitioner | 374K00000X | Primary |
Addresses
Primary practice location
1165 Club Cir
Suite Number 307N
Brookfield, WI 53005-6981
Mailing address
1165 Club Cir
Suite Number 307N
Brookfield, WI 53005-6981
Phone (262) 785-6789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1003105156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 CLUB CIR",
"address_2": "SUITE NUMBER 307N",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056981",
"telephone_number": "262-785-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 CLUB CIR",
"address_2": "SUITE NUMBER 307N",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056981",
"telephone_number": "262-785-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODDINGTON",
"first_name": "CONNIE",
"middle_name": "HAYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.