Active NPI
Nicole A Coffman-Cole, DC
- Chiropractor
- Waverly, TN
National Provider Identifier
1962980086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2084
- Practice address
- 103 Pavo St
Waverly, TN 37185-1527 - Phone
- (931) 296-7220
- NPI assigned
- Jul 31, 2018
- Last updated
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2084 | TN | Primary |
Addresses
Primary practice location
103 Pavo St
Waverly, TN 37185-1527
Mailing address
103 Pavo St
Waverly, TN 37185-1527
Phone (931) 296-7220
Other practice location 1
4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406-1600
Phone (423) 892-2717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084 | Other | TN | TENNESSEE LICENSE NUMBER |
Other names 1
- Dr. Nicole A Cole
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffman Chiropractic Life Centers, P.C. | Chiropractor | Past | Accepting new patients |
| Chiropractic Brings Life | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Waverly, TN
- NPI 1447516406
-
- Chiropractor
- Chattanooga, TN
- NPI 1346443553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1962980086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PAVO ST",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371851527",
"telephone_number": "931-296-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PAVO ST",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371851527",
"telephone_number": "931-296-7220"
}
],
"practiceLocations": [
{
"address_1": "4289 Bonny Oaks Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374061600",
"country_code": "US",
"telephone_number": "423-892-2717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFMAN-COLE",
"first_name": "NICOLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE LICENSE NUMBER",
"identifier": "2084",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "COLE",
"middle_name": "A",
"prefix": "DR.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.