Heather Coffeen Chastain, NP - C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

150125 Issued in GA

Practice address

306 Corder Rd
Suite 1
Warner Robins, GA 31088-3606

Phone

(478) 922-3074

Fax

(478) 922-3076

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Michelle Coffeen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Badia Medical, LLC

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1679584601
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013052497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120-B OSIGIAN BLVD",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888939",
            "telephone_number": "478-953-5358",
            "fax_number": "478-953-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CORDER RD",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883606",
            "telephone_number": "478-922-3074",
            "fax_number": "478-922-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "HEATHER",
        "middle_name": "COFFEEN",
        "credential": "NP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "150125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "COFFEEN",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carnaria R. Chapman
• Melanie Chapman, CPS, CPS-P, CPS-WH
• Sandra P Charles, ICADC, CADCII, CCS
• Shaquan Charles
• Amanda Chase
• Brittany Cheek, LPN
• Cheryl L . Howard Young, DO, PC
• Tamika L Chester, NP
• Christopher Chiappetto, NP
• Greg Chiasson, DPT, OTR/L, MTC

• Pediatric Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.