Active NPI
Christine Marie Coughlin, FNP-BC
- Family Nurse Practitioner
- Warren, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN62010
- Practice address
- 851 Main St
Warren, RI 02885-4402 - Phone
- (401) 247-1000
- NPI assigned
- Jun 9, 2020
- Last updated
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN62010 | RI | Primary |
Addresses
Primary practice location
851 Main St
Warren, RI 02885-4402
Mailing address
851 Main St
Warren, RI 02885-4402
Phone (401) 247-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN62010 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Prospect Chartercare Physicians, LLC | Current | Accepting new patients | |
| Partners in Pediatrics Inc | Past | Accepting new patients |
Locations
1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889
1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
Interoperability endpoints
- chcoughlin@direct.carene.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CharterCARE Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Pediatrics Physician
- Providence, RI
- NPI 1568851319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1346865953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 MAIN ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854402",
"telephone_number": "401-247-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MAIN ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854402",
"telephone_number": "401-247-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLIN",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "RN62010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, RI
- Nicole Maureen Cherry, PHYSICAL THERAPIST
- Chiropractic Health Partners of America LTD.
- Collaborative for Behavioral Health (Denise M Fragoza Licsw,LCDP,CCJP)
- Kelly N Connors, PTA
- Corliss Institute, Inc.
- Crestwood Healthcare LLC
- Crestwood Nursing and Convalescent Home Inc
- Alison Crippen
- Tamara Dallaire
- Michelle L Daniels, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.