Coffman Family Care and Wellness, PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

COFFMAN FAMILY CARE AND WELLNESS, PLLC

Practice address

1221 N Main St
Beaver Dam, KY 42320-8955

Phone

(270) 339-7791

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By 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

Angela Coffman, NURSE PRACTITIONERNPI 1811503410

Title

Owner

Phone

(270) 339-7791

Specialties & licenses 1

Addresses

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.

• Angela Coffman, APRN-FNP-C, PMHNP

  • Family Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1811503410

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1891418281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 THOMPSON DR",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423209152",
            "telephone_number": "270-339-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-339-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFMAN FAMILY CARE AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-339-7791",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Regional Healthcare
• Brenda Lee Bradford, CRNA
• Bright Futures Behavioral Health
• Tyler Cherry, DPT
• Coffman Family Care and Wellness PLLC
• Angela Coffman, APRN-FNP-C, PMHNP
• Czarmi Ann Coffman, PT
• Community Oxygen & Medical Equipment, Inc.
• Cooney Family Care PLLC
• Tina Gay Cooney, APRN, FNP-BC

• Primary Care Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.