Individual provider Active NPI

Rebecca Erin Coeyman

  • Family Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1760179907
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R211645 Issued in MD
Practice address
9524 Belair Rd
Nottingham, MD 21236-1544
Phone
(410) 529-9311
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 R211645 MD Primary

Addresses

Primary practice location

9524 Belair Rd
Nottingham, MD 21236-1544

Mailing address

4318 Winterode Way
Nottingham, MD 21236-2731
Phone (443) 604-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20230803002406 MD Practitioner - Nurse Practitioner 3375904527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211645MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel View Family Care PC CurrentSince Jun 12, 2023 Accepting new patients

Locations

9524 Belair Rd
Nottingham, MD 21236
Phone (410) 529-9311

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1760179907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 WINTERODE WAY",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362731",
            "telephone_number": "443-604-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361544",
            "telephone_number": "410-529-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEYMAN",
        "first_name": "REBECCA",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.