Felisha Marie Coon, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

24-CRM-2919 Issued in OR

Practice address

908 NE 4TH St
Bend, OR 97701-4646

Phone

(541) 617-7365

Fax

(541) 312-6343

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By 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 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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1447017009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NE 4TH ST STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014646",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014646",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "FELISHA",
        "middle_name": "MARIE",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "24-CRM-2919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Machelle Cook
• Travis Cook
• Daniel Leslie Cooke, RPH
• David A Cooks, L.AC.
• Kelly Adams Cooks, L.AC.
• Kim Cooney, LMT
• Alison Cooper
• Anthony Scott Cooper, PHARMD
• Christopher Neal Cooper, MSPT
• Jocelyn M Cooper, ND

• Peer Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.