Elizabeth A Coenen, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10312 Issued in WI

Practice address

704 Main St
Neenah, WI 54956-2214

Phone

(920) 366-4505

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: ecoenen166207@direct.thedacare.org

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1073130308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562214",
            "telephone_number": "920-585-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562214",
            "telephone_number": "920-366-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COENEN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Christman
• Kristine Clark, OTR
• Clover Chiropractic LLC
• Matthew B Clover, DC
• Rachel Coady, RDN, IFNCP
• Katie D Coenen, OT
• Brian A. Cole, MD
• Rachel Ann Collar
• Boni J Colwitz, RN DIABETES EDUCATOR
• Community Memorial Hospital, Incorporated (d/b/a Breast Surgery Experts of Northeast Wisconsin)

• Family Nurse Practitioner in Neenah, WI
• Providers in Neenah, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.