Cristy Coffey, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1074477 Issued in TX

Practice address

331 Sportsplex Dr Ste C
Dripping Springs, TX 78620-5350

Phone

(512) 894-3737

NPI assigned

Apr 10, 2022

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 names 1

• Cristy Gwynn Roach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1982346045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SPORTSPLEX DR STE C",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SPORTSPLEX DR STE C",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205350",
            "telephone_number": "512-894-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "CRISTY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1074477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTY",
            "last_name": "ROACH",
            "middle_name": "GWYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Chan
• Ricardo Jesus Chapa, M.D.
• Charles L. Jahtlohee Rogers Anikutani Head Priest
• Child First Therapy
• Colleen Clougherty, FNP-C
• Michelle Connolly, PT
• Magdalene Conroy, LCSW
• Madison S Conteh, MA, LPC, RPT
• Casey Edward Coton, D.O.
• Counseling and Nature Therapy Center PLLC

• Pediatric Nurse Practitioner in Dripping Springs, TX
• Providers in Dripping Springs, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.