Kimberly Lashaun Coke, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903064 Issued in MS

Practice address

105 Thomas Lane
New Augusta, MS 39462-3946

Phone

(601) 606-0956

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1437620580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "NEW AUGUSTA",
            "state": "MS",
            "postal_code": "394620045",
            "telephone_number": "601-606-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 THOMAS LANE",
            "city": "NEW AUGUSTA",
            "state": "MS",
            "postal_code": "394623946",
            "telephone_number": "601-606-0956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Thomas Lane",
            "address_purpose": "LOCATION",
            "city": "New Augusta",
            "state": "MS",
            "postal_code": "394623946",
            "country_code": "US",
            "telephone_number": "601-606-0956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COKE",
        "first_name": "KIMBERLY",
        "middle_name": "LASHAUN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Nicole Evans, FNP-C
• James Wallace Griffin Jr., MD
• Tracy Hennessey, CFNP
• Leslie Wells DMD, PLLC
• Mississippi State Department of Health

• All providers in New Augusta, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.