Individual provider Active NPI

Quanne Simone Coombs, PA-C

  • Physician Assistant
  • Lehigh Acres, FL
National Provider Identifier
1346594009
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106573 Issued in FL
Practice address
1303 Homestead Rd N
Suite #102
Lehigh Acres, FL 33936-6049
Phone
(239) 303-2700
Fax
(239) 303-2756
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106573 FL Primary

Addresses

Primary practice location

1303 Homestead Rd N
Suite #102
Lehigh Acres, FL 33936-6049

Mailing address

1303 Homestead Rd N
Suite #102
Lehigh Acres, FL 33936-6049
Phone (239) 303-2700

Other names 1

  • Quanne Coombs Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140508000333 FL Practitioner - Physician Assistant 6800029398 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Medical AssociatesGroup PAC ID 6608768122, 20 clinicians

Practice addresses (Care Compare)

7195 S George Blvd
Highland Urgent Care
Sebring, FL 33875-5823
Phone (863) 451-5854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jul 30, 2018 Accepting new patients
Treasure Coast Medical Associates CurrentSince Sep 7, 2024 Accepting new patients
American Current Care PA CurrentSince Jul 30, 2018 Accepting new patients
Rural Health Care Incorporated CurrentSince Sep 28, 2016 Accepting new patients
Rural Health Care, Inc. CurrentSince Sep 28, 2016 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1346594009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HOMESTEAD RD N",
            "address_2": "SUITE #102",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366049",
            "telephone_number": "239-303-2700",
            "fax_number": "239-303-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HOMESTEAD RD N",
            "address_2": "SUITE #102",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366049",
            "telephone_number": "239-303-2700",
            "fax_number": "239-303-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "QUANNE",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUANNE",
            "last_name": "COOMBS",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.