Nicole Coffey, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP020829 Issued in PA

Practice address

702 Gordon Dr
Exton, PA 19341-1253

Phone

(610) 363-1330

Fax

(610) 524-8574

NPI assigned

Oct 29, 2014

Last updated

May 27, 2021By 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 3

Addresses

Other names 1

• Nicole Gravez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• All Star Pediatrics, LLC

  • Pediatrics Physician
  • Exton, PA
  • NPI 1033287552
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1437554706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-1330",
            "fax_number": "610-524-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-1330",
            "fax_number": "610-524-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "020829",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5957",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GRAVEZ",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clova Health Inc
• Idris Clymer
• Coatesville Clinic Company, LLC (Brandywine Valley Orthopedics)
• Coatesville Clinic Company, LLC (Oaklands Family Medicine)
• Emma Cochrane
• Alan M Cohen, OD
• Taneestar Cohen, NP, PMHNP-BC
• Michelle Renee Colaizzo
• Carol L Coldren, MD
• Collegium Charter School

• Family Nurse Practitioner in Exton, PA
• Providers in Exton, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.