Active NPI
Zhanette Hope Coffee, FNP-C, MSN, BSN, RN
- Family Nurse Practitioner
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95011893
- Practice address
- 215 S. Hictory St
Suite 114
Escondido, CA 92025 - Phone
- (760) 704-9429
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 95116279 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95011893 | CA | Primary |
Addresses
Primary practice location
215 S. Hictory St
Suite 114
Escondido, CA 92025
Mailing address
215 S Hickory St Ste 1114
Escondido, CA 92025-4359
Phone (760) 704-9429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715
20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95116279 | CA | MD | Critical Care Medicine Registered Nurse |
| 95011893 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Care Provider Group PA | Current | Accepting new patients | |
| Christian R Small MD a Professional Corporation | Past | Accepting new patients | |
| Recovia LLC | Past | Accepting new patients | |
| Recovia LLC | Past | Accepting new patients |
Locations
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
Organizations & group practices 4
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.
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NC, OH
-
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- NPI 1285213132
-
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
- NPI 1386313864
-
- Addiction (Substance Use Disorder) Psychologist
- Phoenix, AZ
- NPI 1568139616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1023528536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S HICKORY ST STE 1114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254359",
"telephone_number": "760-704-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S. HICTORY ST",
"address_2": "SUITE 114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "760-704-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEE",
"first_name": "ZHANETTE",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"credential": "FNP-C, MSN, BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2022-03-21",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "95116279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.