Candice Nicole Coffey, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014035392 Issued in MO

Practice address

5960 Howdershell Rd
Suite 204
Hazelwood, MO 63042-4100

Phone

(314) 895-1136

NPI assigned

Nov 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Care Associates LLCGroup PAC ID 4789944398, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Primary Health Care Associates LLC

  • Chiropractor
  • Hazelwood, MO
  • NPI 1699289694
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1821494550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 HOWDERSHELL RD",
            "address_2": "SUITE 204",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630424100",
            "telephone_number": "314-895-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 HOWDERSHELL RD",
            "address_2": "SUITE 204",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630424100",
            "telephone_number": "314-895-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "CANDICE",
        "middle_name": "NICOLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014035392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Care, St. Louis
• Circle of Care, St. Louis
• Circle of Care, St. Louis
• Circle of Care, St. Louis
• City of Hazelwood
• Yolanda Cole
• Marlene D Coleman
• William Collins
• Community Care
• Community Care CDS LLC

• Chiropractor in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.