Active NPI
Coetta Lynn Neece, NP-C
- Family Nurse Practitioner
- Grundy, VA
National Provider Identifier
1578800967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024170561
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clintwood, VA
- NPI 1649209990
VA
-
- Internal Medicine Physician
- Lebanon, VA
- NPI 1598853889
-
- Home Health Agency
- Vansant, VA
- NPI 1356410088
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickenson County Behavioral Health Services | Current | Accepting new patients | |
| Samina Yousuf MD PC | Current | Accepting new patients | |
| Buchanan County Hospice, Inc | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024170561 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.