Jill Ann Coan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1112751 Issued in TX

Practice address

5407 Basswood Blvd Ste 113
Fort Worth, TX 76137-4499

Phone

(817) 846-7567

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1720780919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ASHTON CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344401",
            "telephone_number": "817-846-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 BASSWOOD BLVD STE 113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374499",
            "telephone_number": "817-846-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAN",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Nicole Clowdus, NNP
• Juliet Clutter, PA-C
• Cmac Counseling, PLLC
• CNS - F.W., LLC
• Michael Coale
• Coast to Coast Rehabilitation Inc
• Mindy Coates, RN, BSN
• Sarah Coates, PHARMD
• Gilbert Franklin Coats, DDS
• Maxwell A Coats, CSFA

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.