Active NPI
Adrienne Coqueran, MD
- Emergency Medicine Physician
- Norfolk, VA
National Provider Identifier
1619940731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101033720
- Practice address
- 7924 Chesapeake Blvd
Norfolk, VA 23518-3801 - Phone
- (757) 587-0157
- Fax
- (757) 587-0074
- NPI assigned
- Feb 9, 2006
- Last updated
- Apr 9, 2010
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101033720 | VA | Primary |
Addresses
Primary practice location
7924 Chesapeake Blvd
Norfolk, VA 23518-3801
Mailing address
3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3508
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41626 | Other | VA | SENTARA/OPTIMA |
| 440814 | Other | VA | ANTHEM |
| 541595397 | Other | VA | CIGNA |
| 005613965 | Medicaid | VA | |
| 541595397 | Other | VA | VIRGINIA HEALTH NETWORK |
| 541595397 | Other | VA | AETNA |
| 541595397 | Other | VA | TRICARE |
| 541595397 | Other | VA | MID ATLANTIC SOLUTIONS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1619940731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 WESTERN BRANCH BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215260",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7924 CHESAPEAKE BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235183801",
"telephone_number": "757-587-0157",
"fax_number": "757-587-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COQUERAN",
"first_name": "ADRIENNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101033720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "41626",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "440814",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "541595397",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005613965",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "541595397",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "541595397",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541595397",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC SOLUTIONS",
"identifier": "541595397",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.