Vanessa Coble

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

01040 Issued in NC

Legal business name

VANESSA COBLE

Doing business as

Vanessa Coble

Practice address

540 W Elm St
Graham, NC 27253-2158

Phone

(336) 227-0730

Fax

(336) 227-0732

NPI assigned

Aug 7, 2014

Last updated

Aug 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa Coble, PH.D.

Title

President

Phone

(336) 227-0730

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vanessa Coble Doing business as

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1518376144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532158",
            "telephone_number": "336-227-0730",
            "fax_number": "336-227-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532158",
            "telephone_number": "336-227-0730",
            "fax_number": "336-227-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA COBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-227-0730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01040",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010186889",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanessa Coble",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Graham, NC
• Providers in Graham, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.