NPIMap

Individual provider Active NPI

James Jeffery Coats

  • Clinical Social Worker
  • Sac City, IA
National Provider Identifier
1811058472
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00860 Issued in IA
Practice address
322 S 13TH St
Sac City, IA 50583-1910
Phone
(712) 662-3222
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00860 IA Primary

Addresses

Primary practice location

322 S 13TH St
Sac City, IA 50583-1910

Mailing address

322 S 13TH St
Sac City, IA 50583-1910
Phone (712) 662-3222

Other identifiers 1

IdentifierTypeStateIssuer
00860OtherIALISW LICENSE

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

State licenses

LicenseStateTypeSpecialty
860IAMDFoot & Ankle Surgery Podiatrist
00860IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Center Inc. Past Accepting new patients
West Iowa Community Mental Health Center Past Accepting new patients
Howard Center Inc. Past Accepting new patients

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1811058472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S 13TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831910",
            "telephone_number": "712-662-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S 13TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831910",
            "telephone_number": "712-662-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "JAMES",
        "middle_name": "JEFFERY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW LICENSE",
            "identifier": "00860",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sac City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.