Individual provider Active NPI

Paula Sue Coffey, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1598072951
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15171 Issued in TN
Practice address
6073 E Brainerd Rd
Chattanooga, TN 37421-3909
Phone
(423) 648-8008
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15171 TN Primary

Addresses

Primary practice location

6073 E Brainerd Rd
Chattanooga, TN 37421-3909

Mailing address

405 Park Rd
Lookout Mountain, TN 37350-1157
Phone (423) 827-6641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000431 GA Practitioner - Nurse Practitioner 4486833613 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Center for Sleep Disorders, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Advanced Center for Sleep Disorders, Inc CurrentSince Nov 1, 2011 Accepting new patients

Locations

1411 Chattanooga Ave
Ste 102
Dalton, GA 30720
Phone (423) 648-8008

6073 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 648-8008

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1598072951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PARK RD",
            "city": "LOOKOUT MOUNTAIN",
            "state": "TN",
            "postal_code": "373501157",
            "telephone_number": "423-827-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6073 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213909",
            "telephone_number": "423-648-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "PAULA",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.