Kevan Christina Coffey, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60297421 Issued in WA

Practice address

1003 Koala Dr
Omak, WA 98841-9247

Phone

(509) 422-5700

Fax

(855) 204-8902

NPI assigned

Jul 27, 2012

Last updated

Aug 20, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health CentersGroup PAC ID 9739076217, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mid Valley Hospital & Clinic Hospital, Omak, WA, CCN 501328

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevan.coffey.1@19043.direct.athenahealth.com

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.

• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Okanogan, WA
  • NPI 1609804392
  Medicare reassignment Care Compare group NPD
• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Twisp, WA
  • NPI 1679962401
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Okanogan County Public Hospital District No. 3

  dba Mid-Valley Hospital

  • Critical Access Hospital
  • Omak, WA
  • NPI 1255387403
  Care Compare affiliation

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1174879126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "address_2": "ATTN: CREDENTIALING",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988401340",
            "telephone_number": "509-422-5700",
            "fax_number": "509-422-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 KOALA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419247",
            "telephone_number": "509-422-5700",
            "fax_number": "855-204-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "KEVAN",
        "middle_name": "CHRISTINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60297421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Karthik Chivukula, M.D.
• Sarah Clausen
• Shannon Clay, MS MHP
• Rochelle F Cline, LMHCA
• Chelsea J Cloud, ND
• Maureen Erin Collins, LICSWA
• Andrew John Conboy, PA-C
• Confederated Tribes of the Colville Reservation (Omak Tribal Health Center Pharmacy)
• Confederated Tribes of the Colville Reservation (Colville Tribal Health Authority Omak)
• Confederated Tribes of the Colville Reservation (Omak Tribal Health Center)

• Nurse Practitioner in Omak, WA
• Providers in Omak, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.

Verify at the official NPI Registry.