Deborah Padgett Coehlo, PHD, C-PNP, PMHS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

000039320N2PNP-PP Issued in OR

Practice address

62930 O B Riley Rd Ste 300
Bend, OR 97703-9459

Phone

(541) 323-5515

Fax

(541) 323-3505

NPI assigned

Oct 20, 2006

Last updated

Jul 11, 2019By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.coehlo.1@16332.direct.athenahealth.com

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.

• Juniper Ridge Developmental and Behavioral Pediatrics

  • Pediatric Nurse Practitioner
  • Bend, OR
  • NPI 1225382617

  Multi-Specialty

  NPD Authorized official
• Juniper Ridge Developmental and Behavioral Pediatrics, LLC

  dba Juniper Pediatrics

  • Non-Pharmacy Dispensing Site
  • Bend, OR
  • NPI 1053757666
  NPD (past) Authorized official
• Coehlo & Coehlo, LLC

  dba Juniper Ridge Clinic

  • Family Health Clinical Nurse Specialist
  • Bend, OR
  • NPI 1881887602

  Multi-Specialty

  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1922180777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62930 O B RILEY RD STE 300",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039459",
            "telephone_number": "541-323-5515",
            "fax_number": "541-323-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62930 O B RILEY RD STE 300",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039459",
            "telephone_number": "541-323-5515",
            "fax_number": "541-323-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEHLO",
        "first_name": "DEBORAH",
        "middle_name": "PADGETT",
        "name_prefix": "Dr.",
        "credential": "PHD, C-PNP, PMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "000039320N2PNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "271240",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276739",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271240",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathie Coe Sipe
• Karen Coe, DDS
• Michael Coe
• Michael R Coe, MD
• Coehlo & Coehlo, LLC (Juniper Ridge Clinic)
• Thomas Eugene Coehlo, RN, MSN, FNP-C
• Zachary L Coelho, PSS, CRM
• Teresa Renee Coffey, CADC II
• Coffman Vision Clinic Inc
• Michael Andrew Coffman, OD

• Psychiatric/Mental Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.