Individual provider Active NPI

Kathleen Costigan Coyan, AUD

  • Audiologist
  • Nashville, TN
National Provider Identifier
1174769749
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2206 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-3018
Phone
(615) 322-5000
NPI assigned
Jan 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2013022988 MO
Audiologist 231H00000X 2206 TN Primary
Audiologist 231H00000X AT006350 PA

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-3018

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

5501 Old York Rd Bldg 2nd
Philadelphia, PA 19141-3018
Phone (215) 456-7140

Other practice location 2

8350 Roosevelt Blvd
Philadelphia, PA 19152-2531
Phone (215) 331-6878

Other practice location 3

1215 21st Ave S
Nashville, TN 37232-3018
Phone (618) 520-8808

Other practice location 4

205 N Broad St Ste 401
Philadelphia, PA 19107-1553
Phone (215) 762-4600

Other practice location 5

4880 NE Goodview Cir
Suite 300
Lees Summit, MO 64064-1996
Phone (816) 478-0507

Other names 1

  • Dr. Kathleen Teresa Costigan Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC
Direct Messaging Address kcoyan811330@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620001138 TN Practitioner - Qualified Audiologist 1850534249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

3601 The Vanderbilt Clinic
Nashville, TN 37232-5100
Phone (615) 322-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013022988MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Past Accepting new patients
Ascentist Physicians Group, LLC Audiologist PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1174769749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372323018",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd Bldg 2nd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7140",
            "fax_number": "215-456-6671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8350 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522531",
            "country_code": "US",
            "telephone_number": "215-331-6878",
            "fax_number": "215-331-4152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372323018",
            "country_code": "US",
            "telephone_number": "618-520-8808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Broad St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071553",
            "country_code": "US",
            "telephone_number": "215-762-4600",
            "fax_number": "215-762-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4880 NE Goodview Cir",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641996",
            "country_code": "US",
            "telephone_number": "816-478-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYAN",
        "first_name": "KATHLEEN",
        "middle_name": "COSTIGAN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-01",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2013022988",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2206",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcoyan811330@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1215 21st Ave S",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372323018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "COSTIGAN",
            "middle_name": "TERESA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.