Individual provider Active NPI

Allison Inga Buri Coburn, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
National Provider Identifier
1316262579
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN198926 Issued in GA
Practice address
993 Johnson Ferry Rd NE # D
Suite 360
Atlanta, GA 30342-1620
Phone
(404) 250-1350
Fax
(404) 250-1359
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN198926 GA Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE # D
Suite 360
Atlanta, GA 30342-1620

Mailing address

993 Johnson Ferry Road NE
Suite 360
Atlanta, GA 30342-1601
Phone (404) 250-1350

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN198926GAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1316262579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY ROAD NE",
            "address_2": "SUITE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421601",
            "telephone_number": "404-250-1350",
            "fax_number": "404-250-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE # D",
            "address_2": "SUITE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-250-1350",
            "fax_number": "404-250-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "ALLISON",
        "middle_name": "INGA BURI",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN198926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.