Marsha L. Coberly, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-3511 Issued in CO

Practice address

1338 Phay Ave
St Thomas More Hospital
Canon City, CO 81212

Phone

(719) 285-2000

NPI assigned

Jun 23, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Quantum Plus LLC

  • Emergency Medicine Physician
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  • NPI 1235188962

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1023044047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 YORK AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128627",
            "telephone_number": "719-269-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "address_2": "ST THOMAS MORE HOSPITAL",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "719-285-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBERLY",
        "first_name": "MARSHA",
        "middle_name": "L.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "NP-3511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56158564",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean R Claflin, O D
• Wilson Francis Claussen
• Erin Cleveland
• Terry Michael Clower, M.D.
• Tammy Cobb
• Megan Cobos
• Tara Coen, LPC
• Darcy Cole, DSW, LCSW, LAC
• Katherine Cole, DO
• Francis Collier

• Nurse Practitioner in Canon City, CO
• Providers in Canon City, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.