Individual provider Active NPI

Cierra Monet Coughlin, NP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1689492357
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R268206 Issued in MD
Practice address
6000 Executive Blvd Ste 101
Rockville, MD 20852-3816
Phone
(240) 599-1001
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 R268206 MD Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 101
Rockville, MD 20852-3816

Mailing address

437 New York Ave NW Apt 701
Washington, DC 20001-4752
Phone (202) 255-5529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120000093 DC Practitioner - Nurse Practitioner 9335674969 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Horizons Psychiatry LLC CurrentSince Nov 1, 2024 Accepting new patients
Bright Horizons Psychiatry LLC PastSince Oct 6, 2024 Accepting new patients

Locations

6000 Executive Blvd
Ste 101
Rockville, MD 20852
Phone (240) 599-1001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1689492357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 NEW YORK AVE NW APT 701",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014752",
            "telephone_number": "202-255-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523816",
            "telephone_number": "240-599-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "CIERRA",
        "middle_name": "MONET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R268206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.