Active NPI
Gregory Carleton Coolidge II, C.H.W.C., C.F.N.S.
- Health Educator
- Fort Thomas, KY
National Provider Identifier
1659778256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 240 Little Round Top
#315
Fort Thomas, KY 41075-4417 - Phone
- (859) 757-7060
- NPI assigned
- Nov 25, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
240 Little Round Top
#315
Fort Thomas, KY 41075-4417
Mailing address
240 Little Round Top
#315
Fort Thomas, KY 41075-4417
Phone (859) 757-7060
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1659778256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 LITTLE ROUND TOP",
"address_2": "#315",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410754417",
"telephone_number": "859-757-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 LITTLE ROUND TOP",
"address_2": "#315",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410754417",
"telephone_number": "859-757-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLIDGE",
"first_name": "GREGORY",
"middle_name": "CARLETON",
"name_suffix": "II",
"credential": "C.H.W.C., C.F.N.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.