Individual provider Active NPI

Coetta Lynn Neece, NP-C

  • Family Nurse Practitioner
  • Grundy, VA
National Provider Identifier
1578800967
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170561 Issued in VA
Practice address
18334 Riverside Drive
Grundy, VA 24614
Phone
(276) 597-6326
Fax
(276) 597-6300
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickenson County Behavioral Health Services 5 clinicians

Practice addresses (Care Compare)

440 Fox Town Rd
Clintwood, VA 24228-5077
Phone (276) 926-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130311000027 VA Practitioner - Nurse Practitioner 6305091760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dickenson County Behavioral Health Services CurrentSince Feb 11, 2022 Accepting new patients
Samina Yousuf MD PC CurrentSince Mar 9, 2010 Accepting new patients
Buchanan County Hospice, Inc PastSince Jan 9, 2016 Accepting new patients

Locations

440 Fox Town Rd
Clintwood, VA 24228
Phone (276) 926-1680

856 Clintwood Main St
Clintwood, VA 24228
Phone (276) 926-5220

142 Highland Dr
Lebanon, VA 24266
Phone (276) 880-3133

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170561 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

18334 Riverside Drive
Grundy, VA 24614

Mailing address

P.O. Box 301
Nora, VA 24272
Phone (276) 597-6326

Other names 1

NPPES NPI Registry
  • Prof. Coetta Lynn Neece Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2015.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1578800967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 301",
            "city": "NORA",
            "state": "VA",
            "postal_code": "24272",
            "telephone_number": "276-597-6326",
            "fax_number": "276-597-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18334 RIVERSIDE DRIVE",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-597-6326",
            "fax_number": "276-597-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEECE",
        "first_name": "COETTA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COETTA",
            "last_name": "NEECE",
            "middle_name": "LYNN",
            "prefix": "PROF.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.