Coburn Health Consulting LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COBURN HEALTH CONSULTING LLC

Practice address

4401 Business Park Blvd # N-26
Anchorage, AK 99503-7172

Phone

(907) 854-8840

NPI assigned

May 17, 2017

Last updated

May 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally L Coburn, FNP-BCNPI 1063535045

Title

Owner

Phone

(907) 854-8840

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally L. Coburn, NP

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1063535045
  NPD Authorized official

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1871020123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18828 MOOSE PLACE",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995676645",
            "telephone_number": "907-854-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BUSINESS PARK BLVD # N-26",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037172",
            "telephone_number": "907-854-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBURN HEALTH CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-854-8840",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022977",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Neurology and Neurosurgery, Inc
• Coastal Wellness and Counseling, LLC
• Stacy Coates
• Farrell Cobbs Jr.
• Margaret M. Cobey, RN ANP
• Sally L. Coburn, NP
• Amanda Lynn Cochran
• Haley A Cochran, PA-C
• Travis Eugene Cockerham
• Ann Cockrell

• Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.