Active NPI
Jennifer M. Coates, MSN, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1750659462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60262506
- Practice address
- 1818 S Union Ave
Tacoma, WA 98405-1953 - Phone
- (253) 268-9299
- Fax
- (253) 799-9057
- NPI assigned
- Dec 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3007912 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60262506 | WA | Primary |
Addresses
Primary practice location
1818 S Union Ave
Tacoma, WA 98405-1953
Mailing address
PO Box 645
Burlington, WA 98233-0645
Phone (253) 268-9299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100250620 | Medicaid | KY |
Other names 1
- Jennifer M Mooney
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
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer M Coates, PLLC | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tacoma, WA
- NPI 1821453424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1750659462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982330645",
"telephone_number": "253-268-9299",
"fax_number": "253-799-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 S UNION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051953",
"telephone_number": "253-268-9299",
"fax_number": "253-799-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "JENNIFER",
"middle_name": "M.",
"credential": "MSN, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3007912",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60262506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100250620",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MOONEY",
"middle_name": "M",
"credential": "MSN, ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.