Active NPI
Andrea Coakley
- Acupuncturist
- Glastonbury, CT
National Provider Identifier
1356227599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000459
- Practice address
- 100 Sycamore St Unit 2
Glastonbury, CT 06033-4508 - Phone
- (860) 633-6022
- NPI assigned
- Aug 13, 2025
- Last updated
- Aug 13, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000459 | CT | Primary |
Addresses
Primary practice location
100 Sycamore St Unit 2
Glastonbury, CT 06033-4508
Mailing address
100 Sycamore St Unit 2
Glastonbury, CT 06033-4508
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000459 | CT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1356227599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SYCAMORE ST UNIT 2",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SYCAMORE ST UNIT 2",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334508",
"telephone_number": "860-633-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.