Active NPI
Coffman Family Care and Wellness PLLC
- Clinic/Center
- Beaver Dam, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COFFMAN FAMILY CARE AND WELLNESS PLLC
- Practice address
- 1101 Town Square Dr
Beaver Dam, KY 42320-9135 - Phone
- (270) 775-6060
- Fax
- (270) 775-6010
- NPI assigned
- Oct 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Coffman, APRN-FNP-C, PMHNP
- Title
- Lead Aprn
- Phone
- (270) 775-6060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1101 Town Square Dr
Beaver Dam, KY 42320-9135
Mailing address
1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 775-6060
Other practice location 1
1102 Triplett St Ste 2200
Owensboro, KY 42303-3135
Phone (270) 775-6060
Other practice location 2
1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 256-5911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2307432 | Coffman Family Care and Wellness | Certificate of waiver | Jul 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
1221 N Main St
Beaver Dam, KY 42320
Phone (270) 256-5911
1101 Town Square Dr
Beaver Dam, KY 42320
1102 Triplett St
Owensboro, KY 42303
Phone (270) 274-9221
1102 Triplett St
Ste 2200
Owensboro, KY 42303
Phone (270) 685-2979
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Beaver Dam, KY
- NPI 1811503410
Multi-Specialty
-
- Nurse Practitioner
- Beaver Dam, KY
- NPI 1871204172
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1396490934
-
- Family Nurse Practitioner
- Beaver Dam, KY
- NPI 1457982969
-
- Family Nurse Practitioner
- Beaver Dam, KY
- NPI 1902631898
-
- Family Nurse Practitioner
- Beaver Dam, KY
- NPI 1144092131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1649997669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-775-6060",
"fax_number": "270-775-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 TOWN SQUARE DR",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423209135",
"telephone_number": "270-775-6060",
"fax_number": "270-775-6010"
}
],
"practiceLocations": [
{
"address_1": "1102 Triplett St Ste 2200",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423033135",
"country_code": "US",
"telephone_number": "270-775-6060",
"fax_number": "270-775-6010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 N Main St",
"address_purpose": "LOCATION",
"city": "Beaver Dam",
"state": "KY",
"postal_code": "423208955",
"country_code": "US",
"telephone_number": "270-256-5911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COFFMAN FAMILY CARE AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-20",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "COFFMAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "LEAD APRN",
"authorized_official_telephone_number": "270-775-6060",
"authorized_official_credential": "APRN-FNP-C, PMHNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.