Individual provider Active NPI

William Dargan Coggeshall Jr., MBA

  • Community Health Worker
  • Charlottesville, VA
National Provider Identifier
1336434604
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1441 Sachem PL
Suite 3
Charlottesville, VA 22901-2555
Phone
(434) 220-7475
Fax
(434) 220-7102
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1441 Sachem PL
Suite 3
Charlottesville, VA 22901-2555

Mailing address

1441 Sachem Place
Suite 3
Charlottesville, VA 22901
Phone (434) 220-7475

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
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1336434604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SACHEM PLACE",
            "address_2": "SUITE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-220-7475",
            "fax_number": "434-220-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SACHEM PL",
            "address_2": "SUITE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012555",
            "telephone_number": "434-220-7475",
            "fax_number": "434-220-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGESHALL",
        "first_name": "WILLIAM",
        "middle_name": "DARGAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.