Active NPI
Jessica R Coffie, M.S., C.N.
- Nutritionist
- Lexington, KY
National Provider Identifier
1407152796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2329
- Practice address
- 805 Newtown Cir
Lexington, KY 40511-1240 - Phone
- (859) 288-2333
- Fax
- (859) 288-2328
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2329 | KY | Primary |
Addresses
Primary practice location
805 Newtown Cir
Lexington, KY 40511-1240
Mailing address
805 Newtown Cir
Lexington, KY 40511-1240
Phone (859) 288-2333
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2329 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1407152796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 NEWTOWN CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111240",
"telephone_number": "859-288-2333",
"fax_number": "859-288-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 NEWTOWN CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111240",
"telephone_number": "859-288-2333",
"fax_number": "859-288-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFIE",
"first_name": "JESSICA",
"middle_name": "R",
"credential": "M.S., C.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "KY",
"license": "2329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.