Individual provider Active NPI

Judith Emery Coogan, FNP

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1477565182
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0050-01626 Issued in NC
Practice address
2610 Stantonsburg Rd
Greenville, NC 27834-2800
Phone
(252) 847-2273
Fax
(252) 847-2964
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0050-01626 NC Primary

Addresses

Primary practice location

2610 Stantonsburg Rd
Greenville, NC 27834-2800

Mailing address

315 W 2ND St
Greenville, NC 27834-1969
Phone (252) 507-0588

Other practice location 1

315 W 2nd St
Greenville, NC 27834-1969
Phone (252) 507-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20070307000663 NC Practitioner - Nurse Practitioner 5698878866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0050-01626NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Galileo Medical Group NC PC CurrentSince Feb 13, 2024 Accepting new patients

Locations

315 W 2nd St
Greenville, NC 27834
Phone (252) 507-0588

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

Interoperability endpoints

  • Direct secure messaging: judith.coogan.1@24464.direct.athenahealth.com
  • Direct secure messaging: judith.coogan@450368864321540.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1477565182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 2ND ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341969",
            "telephone_number": "252-507-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342800",
            "telephone_number": "252-847-2273",
            "fax_number": "252-847-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278341969",
            "country_code": "US",
            "telephone_number": "252-507-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "JUDITH",
        "middle_name": "EMERY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-01626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.