Individual provider Active NPI

Katherine Coyle

  • Family Nurse Practitioner
  • S Sioux City, NE
National Provider Identifier
1235503673
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111940 Issued in NE
Practice address
3900 Dakota Ave Ste 6
S Sioux City, NE 68776-3696
Phone
(402) 494-5173
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111940 NE Primary

Addresses

Primary practice location

3900 Dakota Ave Ste 6
S Sioux City, NE 68776-3696

Mailing address

1923 Allan St
Sioux City, IA 51103-2341
Phone (712) 252-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151214001970 NE Practitioner - Nurse Practitioner 9638470792 Reassigns benefits to 2 organizations
I20230215002171 IA Practitioner - Nurse Practitioner 9638470792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Physicians & Physical Therapy Clinic PC Family CurrentSince Nov 24, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 13, 2023 Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

3900 Dakota Ave
Ste 6
South Sioux City, NE 68776
Phone (402) 494-5173

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1235503673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 ALLAN ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511032341",
            "telephone_number": "712-252-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DAKOTA AVE STE 6",
            "city": "S SIOUX CITY",
            "state": "NE",
            "postal_code": "687763696",
            "telephone_number": "402-494-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Sioux City, NE

Sources for this page

Verify at the official NPI Registry.