Active NPI
Debra Margaret Coffee, LPN
- Nurse's Aide
- Gilbert, AZ
National Provider Identifier
1376680264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- LP008693
- Practice address
- 423 E Settlers Point Dr
Gilbert, AZ 85296-3437 - Phone
- (480) 507-1481
- Fax
- (480) 507-1550
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | LP008693 | AZ | Primary |
Addresses
Primary practice location
423 E Settlers Point Dr
Gilbert, AZ 85296-3437
Mailing address
15712 E Willis Rd
Gilbert, AZ 85296-7514
Phone (480) 988-9564
Other names 1
- Mrs. Debra Margaret Coffee
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 |
|---|---|---|---|
| LP008693 | AZ | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376680264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15712 E WILLIS RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852967514",
"telephone_number": "480-988-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 E SETTLERS POINT DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963437",
"telephone_number": "480-507-1481",
"fax_number": "480-507-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEE",
"first_name": "DEBRA",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AZ",
"license": "LP008693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "COFFEE",
"middle_name": "MARGARET",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.