Active NPI
Catherine M Coffey, NP
- Pediatric Nurse Practitioner
- Union, OR
National Provider Identifier
1083862874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 200450010NP
- Practice address
- 142 Dearborn St
Union, OR 97883 - Phone
- (541) 562-6062
- NPI assigned
- Sep 4, 2008
- Last updated
- Sep 4, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 200450010NP | OR | Primary |
Addresses
Primary practice location
142 Dearborn St
Union, OR 97883
Mailing address
PO Box 986
Union, OR 97883-0986
Phone (541) 562-6062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200342385RN | Other | OR | RN |
| PNP-PP 200450010NP | Other | OR | PNP LIC # |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200450010NP | OR | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1083862874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986",
"city": "UNION",
"state": "OR",
"postal_code": "978830986",
"telephone_number": "541-562-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 DEARBORN ST",
"city": "UNION",
"state": "OR",
"postal_code": "97883",
"telephone_number": "541-562-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "CATHERINE",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "200450010NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "200342385RN",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PNP LIC #",
"identifier": "PNP-PP 200450010NP",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union, OR
- Willard G Bertrand, DC
- Brookshire Pharmacy Inc (Union Drug Company)
- Tracy Lynette Case, LMT
- Melinda Sue Cator-Mead, D.C.
- City of Union (Union Volunteer Ambulance)
- Grande Ronde Hospital, Inc (Grande Ronde Hospital Union Clinic)
- Grande Ronde Hospital, Inc (Grande Ronde Hospital Union Clinic)
- Anna Brammer Lanman, NP-C
- Carol Ann Ledbetter, APRN, BC
- Lion Heart Haven LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.