Individual provider Active NPI

Jennifer Nicole Coffel, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1033633771
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134677 Issued in TX
Practice address
1314 E Sonterra Blvd Ste 5203
San Antonio, TX 78258-4290
Phone
(210) 946-6677
NPI assigned
Aug 2, 2017
Last updated
Aug 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134677 TX Primary

Addresses

Primary practice location

1314 E Sonterra Blvd Ste 5203
San Antonio, TX 78258-4290

Mailing address

201 Willow Run
Cibolo, TX 78108-2306
Phone (573) 253-4198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP134677TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solo Doc MD PA PastSince Feb 15, 2001 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1033633771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILLOW RUN",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781082306",
            "telephone_number": "573-253-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 5203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584290",
            "telephone_number": "210-946-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEL",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.