Lisa Coffey, CNA

Individual provider Active NPI Nurse's Aide · Winterville, NC

NPI 1407797236 · NPPES record last updated Apr 4, 2026

Key facts

NPI
1407797236
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
522693 (NC)
Practice address
2454 Pinetops Dr
Winterville, NC 28590-9410
Phone
(631) 829-1049
NPI assigned
Apr 4, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
522693NCMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 522693 NC Yes

Addresses

Primary practice location

2454 Pinetops Dr
Winterville, NC 28590-9410

Mailing address

2454 Pinetops Dr
Winterville, NC 28590-9410
Phone (631) 829-1049

Other providers in Winterville, NC

All providers in Winterville, NC · Nurse's Aide in North Carolina

Sources for this page

Verify at the official NPI Registry.