Active NPI
Larissa Coffey
- Family Nurse Practitioner
- Gulf Breeze, FL
National Provider Identifier
1457775090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9246808
- Practice address
- 1101 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4862 - Phone
- (850) 565-5272
- NPI assigned
- Feb 18, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9246808 | FL | Primary |
Addresses
Primary practice location
1101 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4862
Mailing address
1101 Gulf Breeze Pkwy # B5-14
Gulf Breeze, FL 32561-4862
Other practice location 1
5147 N 9TH Ave
Ste 322
Pensacola, FL 32504-8710
Phone (850) 439-5681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP9246808 | Other | FL | ARNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1457775090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 GULF BREEZE PKWY # B5-14",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614862",
"telephone_number": "850-565-5272"
}
],
"practiceLocations": [
{
"address_1": "5147 N 9TH AVE",
"address_2": "STE 322",
"address_purpose": "LOCATION",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048710",
"country_code": "US",
"telephone_number": "850-439-5681",
"fax_number": "850-439-5682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFEY",
"first_name": "LARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9246808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "ARNP9246808",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.