Active NPI
Dana Sue Coffman, CRNA
- Certified Registered Nurse Anesthetist
- Davenport, IA
National Provider Identifier
1578727715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D116964
- Practice address
- 3400 Dexter CT
Suite 101
Davenport, IA 52807-3461 - Phone
- (563) 344-6746
- Fax
- (563) 344-6740
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D116964 | IA | Primary |
Addresses
Primary practice location
3400 Dexter CT
Suite 101
Davenport, IA 52807-3461
Mailing address
8315 47TH St
Milan, IL 61264-3263
Phone (309) 333-9070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3400 Dexter Ct
Ste 200
Davenport, IA 52807
Phone (563) 344-6600
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.
-
- Certified Registered Nurse Anesthetist
- Davenport, IA
- NPI 1053741322
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1578727715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 47TH ST",
"city": "MILAN",
"state": "IL",
"postal_code": "612643263",
"telephone_number": "309-333-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 DEXTER CT",
"address_2": "SUITE 101",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073461",
"telephone_number": "563-344-6746",
"fax_number": "563-344-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "DANA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D116964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.