Anita Renee Davidson Coe, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

00241717177 Issued in VA

Practice address

1389 Dante Road
St. Paul, VA 24283-3658

Phone

(276) 762-0770

Fax

(276) 546-9711

NPI assigned

Jun 18, 2014

Last updated

Sep 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Charles Health Council Inc

  dba William A Davis Clinic

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, VA
  • NPI 1710104260
  NPD (past)
• St Charles Health Council Inc

  dba Coeburn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Coeburn, VA
  • NPI 1942322003
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1356755276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2377",
            "address_2": "495 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662377",
            "telephone_number": "276-889-3700",
            "fax_number": "276-889-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 DANTE ROAD",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "242833658",
            "telephone_number": "276-762-0770",
            "fax_number": "276-546-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "ANITA RENEE",
        "middle_name": "DAVIDSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "00241717177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0024171717",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon of Life Ambulance Service
• Virginia Caroline Boardwine, NP
• Candice M Bolling, P.A.-C
• Crystal E Burke, LCSW
• Couch Home Medical
• Ernie's Drug, Inc.
• Dara Nicole Francis, PHARM. D
• James A Gross, RPH
• Hamilton Pharmacy Inc

• Family Nurse Practitioner in Saint Paul, VA
• Providers in Saint Paul, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.

Verify at the official NPI Registry.