Active NPI
Charlotte L Coachman, A.R.N.P.
- Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1710909700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0027590
- Practice address
- 4785 E 91St St Ste B
Tulsa, OK 74137-2839 - Phone
- (918) 556-7845
- Fax
- (918) 556-7849
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0027590 | OK | Primary |
Addresses
Primary practice location
4785 E 91St St Ste B
Tulsa, OK 74137-2839
Mailing address
1411 E Thompson Ave
Sapulpa, OK 74066-4733
Phone (918) 576-9862
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0027590 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Clinic LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1356412225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710909700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E THOMPSON AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664733",
"telephone_number": "918-576-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4785 E 91ST ST STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741372839",
"telephone_number": "918-556-7845",
"fax_number": "918-556-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COACHMAN",
"first_name": "CHARLOTTE",
"middle_name": "L",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0027590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.