Active NPI
Christopher Coker, ATC, LAT
- Athletic Trainer
- Jefferson City, MO
National Provider Identifier
1003871609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2006009446
- Practice address
- 1225 W Stadium Blvd
Jefferson City, MO 65109-6003 - Phone
- (573) 645-4501
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2006009446 | MO | Primary |
Addresses
Primary practice location
1225 W Stadium Blvd
Jefferson City, MO 65109-6003
Mailing address
405 Clayton Dr
Apt B9
Jefferson City, MO 65101-5100
Phone (573) 645-4501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006009446 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1003871609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 CLAYTON DR",
"address_2": "APT B9",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651015100",
"telephone_number": "573-645-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 W STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096003",
"telephone_number": "573-645-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2006009446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
- Walter Christopher Coats, DO
- Keri Cobb
- Benjamin Lloyd Coe, PHD, DNP, APRN, RN
- Nathan Hamadeh Cofrancisco, MD
- Virginia Cogdill, FNP
- Cole County Lutheran Home Association
- Cole County Lutheran Home Association
- Cole County Residential Services Inc
- Cole County Residential Services, Inc
- Cole County Residential Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.