Carol Ann Coats, MD

Individual provider Active NPI Family Medicine Physician · Gardnerville, NV

NPI 1376630871 · NPPES record last updated Oct 4, 2007

Key facts

NPI
1376630871
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
6252 (NV)
Practice address
1107 Highway 395
Gardnerville, NV 89410
Phone
(775) 782-1615
Fax
(775) 782-1671
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: ccoats65193@direct.renown.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6252 NV Yes

Addresses

Primary practice location

1107 Highway 395
Gardnerville, NV 89410

Mailing address

1111 Emerald Bay Road
South Lake Tahoe, CA 96150
Phone (530) 543-5644

Other providers in Gardnerville, NV

All providers in Gardnerville, NV · Family Medicine Physician in Nevada

Sources for this page

Verify at the official NPI Registry.