Individual provider Active NPI

Suzanne Alice Coffey, D.C.

  • Chiropractor
  • Charlottesville, VA
National Provider Identifier
1992705461
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000667 Issued in VA
Practice address
689 Berkmar Cir
Charlottesville, VA 22901-1464
Phone
(434) 975-1994
Fax
(434) 975-1988
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000667 VA Primary

Addresses

Primary practice location

689 Berkmar Cir
Charlottesville, VA 22901-1464

Mailing address

689 Berkmar Cir
Charlottesville, VA 22901-1464
Phone (434) 975-1994

Other identifiers 3

IdentifierTypeStateIssuer
049562OtherANTHEM GROUP
54-149-3132OtherFEDERAL TAX ID
049563OtherANTHEM PROVIDER

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1992705461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-975-1994",
            "fax_number": "434-975-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-975-1994",
            "fax_number": "434-975-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "SUZANNE",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "049562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "54-149-3132",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER",
            "identifier": "049563",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.