Individual provider Active NPI

Damion Coughlin

  • Registered Nurse
  • Lakewood, WA
National Provider Identifier
1609732601
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60259329 Issued in WA
Practice address
11421 Pacific Hwy SW
Lakewood, WA 98499-5171
Phone
(253) 352-0481
Fax
(253) 212-0360
NPI assigned
Jan 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60259329 WA Primary

Addresses

Primary practice location

11421 Pacific Hwy SW
Lakewood, WA 98499-5171

Mailing address

PO Box 39460
Lakewood, WA 98496-3460
Phone (503) 329-7629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60259329WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald City Enhanced Services CurrentSince Jan 4, 2026 Accepting new patients

Locations

11421 Pacific Hwy SW
Lakewood, WA 98499
Phone (253) 352-0481

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.

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1609732601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39460",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963460",
            "telephone_number": "503-329-7629",
            "fax_number": "253-212-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11421 PACIFIC HWY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984995171",
            "telephone_number": "253-352-0481",
            "fax_number": "253-212-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "DAMION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60259329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.