Chantal C. Coughlin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2300913 Issued in MA

Practice address

352 Lafayette St
Salem, MA 01970-5348

Phone

(978) 542-6413

Fax

(978) 542-7121

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Care Operations PC

  • Urgent Care Clinic/Center
  • Swampscott, MA
  • NPI 1013436385
  NPD
• Urgent Care Operations PC

  • Urgent Care Clinic/Center
  • Beverly, MA
  • NPI 1417311309
  NPD
• Urgent Care Operations, PC

  • Urgent Care Clinic/Center
  • Haverhill, MA
  • NPI 1396434049
  NPD
• Salem State University

  • Student Health Clinic/Center
  • Salem, MA
  • NPI 1255671558
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1477038867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705348",
            "telephone_number": "978-542-6413",
            "fax_number": "978-542-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705348",
            "telephone_number": "978-542-6413",
            "fax_number": "978-542-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "CHANTAL",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2300913",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2300913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Ryann Coskren, LMHC
• John Patrick Costello, D.M.D.
• Katherine Michelle Costello
• Michael Eugene Cothern, PA-C
• Margaret Buell Couch, MS, RDN, LDN, CNSC
• Laura D Coughlin
• Melissa Countie, MS
• Tyler H Cousins, LMT
• Alexis M Couto
• Francisco Covino-Deaso

• Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.