Nancy Jeannine Coffman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27060061A Issued in IN

Practice address

317 S Norton St
Marion, IN 46952-3296

Phone

(765) 664-0101

NPI assigned

Sep 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premier Care of Indiana, Inc.

  • Methadone Clinic
  • Marion, IN
  • NPI 1548707748
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1336790658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S NORTON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523296",
            "telephone_number": "765-664-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S NORTON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523296",
            "telephone_number": "765-664-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "NANCY",
        "middle_name": "JEANNINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27060061A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Clifton, RBT
• Howard Co, OTR
• Melissa Dawn Coates, PTA
• Stephanie K Cochran, CNA
• Kelsey Nicole Coffelt, MA, BCBA
• Brianna Colburn, RBT
• Gina Mae Cole, MSW, LSW
• Jessica Marie Colegate, PHARMD
• Bridgett Coleman
• Nancy B Collier, PT

• Licensed Practical Nurse in Marion, IN
• Providers in Marion, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.