Individual provider Active NPI

Megan Diane Middlecoat, RN

  • Registered Nurse
  • Vincennes, IN
National Provider Identifier
1215505466
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28189691A Issued in IN
Practice address
1900 College Ave
Vincennes, IN 47591-5663
Phone
(812) 316-1569
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28189691A IN Primary

Addresses

Primary practice location

1900 College Ave
Vincennes, IN 47591-5663

Mailing address

22 Illini LN
Lawrenceville, IL 62439-3366
Phone (618) 839-1572

Other practice location 1

3100 Shawnee Dr S
Bedford, IN 47421-5287
Phone (812) 675-4154

Other practice location 2

801 E Illinois St
Petersburg, IN 47567-8026
Phone (812) 809-4461

Other practice location 3

1244 Vail St
Princeton, IN 47670-9513
Phone (812) 506-4103

Other practice location 4

1694 Troy Rd
Washington, IN 47501-8216
Phone (812) 610-2395

Other practice location 5

3150 Saint Charles St
Jasper, IN 47546-1858
Phone (812) 504-2264

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28189691AINMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1215505466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ILLINI LN",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624393366",
            "telephone_number": "618-839-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLLEGE AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915663",
            "telephone_number": "812-316-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Shawnee Dr S",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474215287",
            "country_code": "US",
            "telephone_number": "812-675-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Illinois St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "IN",
            "postal_code": "475678026",
            "country_code": "US",
            "telephone_number": "812-809-4461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1244 Vail St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IN",
            "postal_code": "476709513",
            "country_code": "US",
            "telephone_number": "812-506-4103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1694 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475018216",
            "country_code": "US",
            "telephone_number": "812-610-2395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 Saint Charles St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475461858",
            "country_code": "US",
            "telephone_number": "812-504-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLECOAT",
        "first_name": "MEGAN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28189691A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.