Individual provider Active NPI

Lana Horton Coffer, M.ED.,CCC-SLP

  • Speech-Language Pathologist
  • Wake Forest, NC
National Provider Identifier
1780866442
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7795 Issued in NC
Practice address
833 Wake Forest Business Park Ste D
Wake Forest, NC 27587-7184
Phone
(919) 556-1700
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7795 NC Primary

Addresses

Primary practice location

833 Wake Forest Business Park Ste D
Wake Forest, NC 27587-7184

Mailing address

833 Wake Forest Business Park Ste D
Wake Forest, NC 27587-7184
Phone (919) 556-1700

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
7795NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Rehabilitation Services, Inc. Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1780866442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK STE D",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-556-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK STE D",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-556-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFER",
        "first_name": "LANA",
        "middle_name": "HORTON",
        "credential": "M.ED.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.