Active NPI
Misha Coolbaugh
- Health Educator
- Worcester, MA
National Provider Identifier
1750786281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 239 Mill St
Suite B
Worcester, MA 01602-3191 - Phone
- (508) 752-8466
- Fax
- (774) 243-6611
- NPI assigned
- Oct 27, 2014
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
239 Mill St
Suite B
Worcester, MA 01602-3191
Mailing address
239 Mill St
Suite B
Worcester, MA 01602-3191
Phone (508) 752-8466
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": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1750786281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 MILL ST",
"address_2": "SUITE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023191",
"telephone_number": "508-752-8466",
"fax_number": "774-243-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 MILL ST",
"address_2": "SUITE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023191",
"telephone_number": "508-752-8466",
"fax_number": "774-243-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLBAUGH",
"first_name": "MISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.