Active NPI
Leah E Coffman, FNP
- Family Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0026999
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404-1815 - Phone
- (937) 641-4000
- Fax
- (937) 641-4500
- NPI assigned
- Jun 22, 2020
- Last updated
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | APRN.CNP.0026999 | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404-1815
Mailing address
1 Childrens PLZ
Dayton, OH 45404-1815
Phone (937) 641-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428146 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864
2635 N 7TH St
Grand Junction, CO 81501-8209
750 Wellington Ave
Grand Junction, CO 81501-6132
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| St Mary's Hospital and Medical Center, Inc | Past | Accepting new patients | |
| St Mary's Hospital and Medical Center, Inc | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7500
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
-
dba SMMG Satellite - Neurology Basalt
- Neurological Surgery Physician
- Basalt, CO
- NPI 1396358578
-
dba DME - Wellington Neurosurgery Clinic
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
- NPI 1609737618
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
-
dba St Mary's Anticoagulation Clinic
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Mary's CareFlight
- Ambulance
- Grand Junction, CO
- NPI 1164060877
Hospital
-
dba St Mary's Anticoagulation Clinic
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
-
dba St Mary's Hospital & Medical Center Life Center OT/PT/SP
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1821647801
-
dba Intermountain Health St Mary's Regional Hospital
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1699716027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1508482936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-4000",
"fax_number": "937-641-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "LEAH",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0026999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428146",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.