Active NPI
Kay T Coggins, FNP-BC
- Nurse Practitioner
- West Point, MS
National Provider Identifier
1902904584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R652822
- Practice address
- 411 Griffin Street
West Point, MS 39773 - Phone
- (662) 494-5863
- Fax
- (662) 494-5287
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R652822 | MS | Primary |
Addresses
Primary practice location
411 Griffin Street
West Point, MS 39773
Mailing address
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 864-8703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117481 | Medicaid | MS |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1902904584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BURTON HILLS BLVD",
"address_2": "STE 175",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156403",
"telephone_number": "615-864-8703",
"fax_number": "615-208-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 GRIFFIN STREET",
"city": "WEST POINT",
"state": "MS",
"postal_code": "39773",
"telephone_number": "662-494-5863",
"fax_number": "662-494-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGGINS",
"first_name": "KAY",
"middle_name": "T",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R652822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00117481",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.