Individual provider Active NPI

Natalie B Coon, PA-C

  • Physician Assistant
  • Lima, OH
National Provider Identifier
1023474483
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004636 Issued in OH
Practice address
1003 Bellefontaine Ave
Suite 125
Lima, OH 45804
Phone
(419) 998-8207
Fax
(419) 998-8216
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004636 OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave
Suite 125
Lima, OH 45804

Mailing address

6238 Morrow Rd
Celina, OH 45822-9360
Phone (410) 916-2579

Other names 1

  • Miss Natalie B Long Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address natalie.long@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160309003040 OH Practitioner - Physician Assistant 0446556971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004636OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Mar 1, 2016 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Mar 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGHGBD/Endpoint/CGHGBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1023474483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 MORROW RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229360",
            "telephone_number": "410-916-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE",
            "address_2": "SUITE 125",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45804",
            "telephone_number": "419-998-8207",
            "fax_number": "419-998-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "NATALIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalie.long@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1003 Bellefontaine Ave",
            "address_2": "Suite 125",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "LONG",
            "middle_name": "B",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.