Active NPI
Kellie Dobias Coffey, APRN, BC
- Family Nurse Practitioner
- Lawrenceburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12643
- Practice address
- 110 Weakley Creek Rd
Lawrenceburg, TN 38464-2238 - Phone
- (931) 766-5001
- Fax
- (931) 762-3800
- NPI assigned
- Apr 14, 2007
- Last updated
- Jan 16, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12643 | TN | Primary |
Addresses
Primary practice location
110 Weakley Creek Rd
Lawrenceburg, TN 38464-2238
Mailing address
413 Douglas Dr
Lawrenceburg, TN 38464-2734
Phone (615) 430-7038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Weakley Creek Rd
Lawrenceburg, TN 38464-2238
Phone (931) 766-5001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.44 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
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.
-
dba Mid-Tennesse Medical
- Family Medicine Physician
- Lawrenceburg, TN
- NPI 1750456414
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Tennessee Regional Health System Lawrenceburg
- Rural Acute Care Hospital
- Lawrenceburg, TN
- NPI 1114003175
-
dba Lewis Ambulatory Care Center
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
Hospital
-
dba Maury Regional Medical Center
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Home Health Agency
- Dickson, TN
- NPI 1164448437
-
- Home Health Agency
- Lewisburg, TN
- NPI 1205852589
-
- Home Health Agency
- Columbia, TN
- NPI 1669498937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1063637270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 DOUGLAS DR",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642734",
"telephone_number": "615-430-7038",
"fax_number": "931-762-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WEAKLEY CREEK RD",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642238",
"telephone_number": "931-766-5001",
"fax_number": "931-762-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "KELLIE",
"middle_name": "DOBIAS",
"name_prefix": "Mrs.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.