Kelly Faye Coffin, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

217388 Issued in OK

Practice address

14468 N 66TH East Ave
Collinsville, OK 74021-4732

Phone

(970) 210-4380

NPI assigned

Nov 4, 2024

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

• Kelly Faye Piper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1194548727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14468 N 66TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740214732",
            "telephone_number": "970-210-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14468 N 66TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740214732",
            "telephone_number": "970-210-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "KELLY",
        "middle_name": "FAYE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OK",
            "license": "217388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PIPER",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea J Caygill, CSFA
• City of Collinsville
• City of Sapulpa
• Sherri Laverne Clark, DPH
• Emily Cline
• Collinsville Family Clinic, Inc.
• Collinsville Family Pharmacy LC
• Collinsville Family Pharmacy LC
• Collinsville Primary Eyecare
• Collinsville Public Schools

• Administrator Registered Nurse in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Administrator Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.