Individual provider Active NPI

Nancy A Coffin-Romig, CNS, APRN, BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • San Diego, CA
National Provider Identifier
1336365469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
326299 Issued in CA
Practice address
3356 2ND Ave Ste I
San Diego, CA 92103-5636
Phone
(619) 729-2339
Fax
(619) 562-6718
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 326299 CA Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X CNS 1048 CA

Addresses

Primary practice location

3356 2ND Ave Ste I
San Diego, CA 92103-5636

Mailing address

3356 2ND Ave Ste I
San Diego, CA 92103-5636
Phone (619) 729-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20040809000696 CA Practitioner - Certified Clinical Nurse Specialist (CNS) 2466424635 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
326299CAMDAdult Psychiatric/Mental Health Registered Nurse
CNS 1048CAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336365469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "619-729-2339",
            "fax_number": "619-562-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "619-729-2339",
            "fax_number": "619-562-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN-ROMIG",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNS, APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "326299",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "CNS 1048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.