Fiel Cofreros

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61593143 Issued in WA

Practice address

1614 S Mildred St Ste a
Tacoma, WA 98465-1626

Phone

(253) 507-9452

NPI assigned

Aug 29, 2014

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VM Provision Care LLCGroup PAC ID 7911339130, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• VM Provision Care LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tacoma, WA
  • NPI 1164072765
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1265832901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 S MILDRED ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651626",
            "telephone_number": "253-507-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 S MILDRED ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651626",
            "telephone_number": "253-507-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFREROS",
        "first_name": "FIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61593143",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60045823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn A Cody
• Matthew A Cody, D.O.
• Elizabeth Ann L Coffel
• Lori Anne Coffin
• Duane Ellis Coffler, RPH
• Cognitive Diagnostic Solutions
• Davida Kramer Cohen, LCSW, LICSW
• Keshet Cohen, RN
• Cohen, Manavi & Pakravan Inc. (Peak Dental)
• Daniela P Cohn-Aizic

• Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, 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 13, 2024; 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.