Individual provider Active NPI

Aspen Elizabeth Coggins

  • Chiropractor
  • Cocoa, FL
National Provider Identifier
1902564479
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13823 Issued in FL
Practice address
840 N Cocoa Blvd
Cocoa, FL 32922-7590
Phone
(321) 735-9050
Fax
(321) 735-9429
NPI assigned
Dec 2, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13823 FL Primary

Addresses

Primary practice location

840 N Cocoa Blvd
Cocoa, FL 32922-7590

Mailing address

840 N Cocoa Blvd
Cocoa, FL 32922-7590
Phone (321) 735-9050

Other practice location 1

119 S Park Ave
Titusville, FL 32796-3377
Phone (321) 567-4984

Other practice location 2

2351 W Eau Gallie Blvd Ste 8
Melbourne, FL 32935-3114
Phone (321) 622-6610

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cocoa

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102003886 FL Practitioner - Chiropractic 6709233307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13823FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Integrative Healthcare Inc Chiropractor CurrentSince Nov 1, 2023 Accepting new patients
Coastal Integrative Healthcare Inc CurrentSince Nov 1, 2023 Accepting new patients
Melbourne Accident & Injury Center, Inc. Chiropractor Past Accepting new patients

Locations

315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403

145 Cypress Point Pkwy
Ste 207
Palm Coast, FL 32164
Phone (386) 427-8403

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1902564479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227590",
            "telephone_number": "321-735-9050",
            "fax_number": "321-735-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227590",
            "telephone_number": "321-735-9050",
            "fax_number": "321-735-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327963377",
            "country_code": "US",
            "telephone_number": "321-567-4984",
            "fax_number": "321-567-7626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 W Eau Gallie Blvd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353114",
            "country_code": "US",
            "telephone_number": "321-622-6610",
            "fax_number": "321-622-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "ASPEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cocoa",
            "affiliation": "N",
            "endpointDescription": "www.injurycentersofbrevard.com",
            "address_1": "840 N Cocoa Blvd",
            "city": "Cocoa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329227590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.