Colleen Coughlin

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

43421 Garfield Rd Ste 200
Clinton TWP, MI 48038-1133

Phone

(586) 263-2106

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry Ford Macomb Hospital Corporation

  • Health Service Clinic/Center
  • Mount Clemens, MI
  • NPI 1437532959
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1922724970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43421 GARFIELD RD STE 202",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43421 GARFIELD RD STE 200",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381133",
            "telephone_number": "586-263-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.fcndocumentation.com/",
            "affiliation": "N",
            "address_1": "43421 Garfield Rd Ste 200",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Lynn Conrad-Garrisi, PHD, LP, RN
• Convenient CT PC
• John Coonan, MALBSW
• Cornerstone Medical Group
• Stacy L Corrado, D.C.
• County of Macomb
• Craig E. Riffel, D.C., PLLC
• Michael Dywane Craig Jr., LPN
• Melissa Craparotta, OTRL
• Tiffany Craven

• Health Educator in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.