Tina Coakley, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C118966 Issued in IA

Practice address

1075 Golden Valley Dr
Bettendorf, IA 52722-1649

Phone

(563) 900-5996

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Katherine Till Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Growing With You Pediatrics

  • Primary Care Nurse Practitioner
  • Bettendorf, IA
  • NPI 1770365843

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1124422985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25377 ROUTE 61",
            "city": "ZWINGLE",
            "state": "IA",
            "postal_code": "520799606",
            "telephone_number": "563-357-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 GOLDEN VALLEY DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221649",
            "telephone_number": "563-900-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "TINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C118966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "TILL",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron Michael Chizek, OD
• Ammie Marie Chizek, OD
• Toni Anne Christie, DC
• Jenna Alyse Chumbley
• Rebecca Lee Clark, RN IBCLC
• Cheyanne Cobb, DC
• Jennifer Cobb, LMHC
• Coffelt Counseling Services LLC
• Stefanie A Coiner, PA-C
• Kathleen Elizabeth Collins, LMHC

• Pediatric Nurse Practitioner in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.