Tracy Coffey, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

17940 Farmington Rd Ste 225
Livonia, MI 48152-3195

Phone

(248) 599-2410

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1548867070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 PRAIRIE RIDGE DR",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD STE 225",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523195",
            "telephone_number": "248-599-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "TRACY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "...",
            "affiliation": "N",
            "address_1": "2821 Prairie Ridge Dr",
            "city": "Grass Lake",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492409452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dajah Denise Coates
• Larry Lance Cobb, R.PH.
• Rebecca Cochran, CCP
• Jennifer Alice Cockels, NP
• Imani Jameelah Coffey-Ali
• Cognate Health Associates PC
• Jill S Cohen, CCP
• John Michael Colasanti, DDS
• Charde Coleman
• Laynie Coleman

• Registered Dietitian in Livonia, MI
• Providers in Livonia, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.