Individual provider Active NPI

Alanna Coughlin, M.D.

  • Pediatrics Physician
  • North Branford, CT
National Provider Identifier
1942362652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
040140 Issued in CT
Practice address
999 Foxon Rd
North Branford, CT 06471-1287
Phone
(203) 484-7334
Fax
(203) 484-7301
NPI assigned
Dec 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 040140 CT Primary

Addresses

Primary practice location

999 Foxon Rd
North Branford, CT 06471-1287

Mailing address

999 Foxon Rd
North Branford, CT 06471-1287
Phone (203) 484-7334

Other names 1

  • Mrs. Alanna Coughlin Manning Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319000621 CT Practitioner - Pediatric Medicine 6608204938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040140CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Pediatrics CurrentSince Feb 3, 2020 Accepting new patients
Branford North Branford Pediatrics,PC Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

999 Foxon Rd
North Branford, CT 06471
Phone (203) 484-7334

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: alanna.coughlin.npi1942362652.phpct@direct.optumcare.masshiway.net

Organizations & group practices 2

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": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942362652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 FOXON RD",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711287",
            "telephone_number": "203-484-7334",
            "fax_number": "203-484-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 FOXON RD",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711287",
            "telephone_number": "203-484-7334",
            "fax_number": "203-484-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "ALANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "040140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANNA",
            "last_name": "MANNING",
            "middle_name": "COUGHLIN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Branford, CT

Sources for this page

Verify at the official NPI Registry.