Thomas Eugene Coehlo, RN, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

090007430N1 Issued in OR

Practice address

132 SW Crowell Way Ste 100
Bend, OR 97702-1178

Phone

(541) 385-5515

Fax

(541) 385-5578

NPI assigned

Nov 30, 2005

Last updated

May 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coehlo & Coehlo, LLC

  dba Juniper Ridge Clinic

  • Family Health Clinical Nurse Specialist
  • Bend, OR
  • NPI 1881887602
  NPD Authorized official
• Firstcare Medical Foundation

  dba Samaritan Medical Clinics

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498
  NPD (past)
• Good Samaritan Hospital Corvallis

  dba Samaritan Orthopedics-Luis Vela, DO

  • Durable Medical Equipment & Medical Supplies
  • Corvallis, OR
  • NPI 1477851186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1003890351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SW CROWELL WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021178",
            "telephone_number": "541-385-5515",
            "fax_number": "541-385-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SW CROWELL WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021178",
            "telephone_number": "541-385-5515",
            "fax_number": "541-385-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEHLO",
        "first_name": "THOMAS",
        "middle_name": "EUGENE",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "090007430N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006372",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Coe, DDS
• Michael Coe
• Michael R Coe, MD
• Coehlo & Coehlo, LLC (Juniper Ridge Clinic)
• Deborah Padgett Coehlo, PHD, C-PNP, PMHS
• Zachary L Coelho, PSS, CRM
• Teresa Renee Coffey, CADC II
• Coffman Vision Clinic Inc
• Michael Andrew Coffman, OD
• Kathryn Coghlan

• Family Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.