KIM M COFFEY (NPI# 1194265165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194265165 |
| Entity Type | Individual |
| Full Name | KIM M COFFEY |
| Practice Address |
2910 Brownwood Blvd The Villages FL 32163-2032 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526741790 |
| Mailing Telephone | 3526748905 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN3222352 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2910 BROWNWOOD BLVD |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212780 | Greg J Jun | Internal Medicine | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2005-08-12 |
| 1558996017 | Prudence J Artello | Dietitian, Registered | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2020-03-05 |
| 1639722887 | Troy Edward Black Pace | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-07-17 |
| 1265999890 | Willie Lee Hudson | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-03-01 |
| 1760977359 | Heather Shaw | Specialist/Technologist, Other | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2018-06-26 |
| 1780051433 | Vjolka Zaka | Audiologist | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-08-28 |
| 1821470477 | Kiran Babu Lachireddy | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-06-19 |
| 1023496643 | Michael Casteel | Podiatrist | 2910 Brownwood Blvd, The Villages, FL 32163 | 2015-05-14 |
| 1104218437 | Lisa Morris | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-02-24 |
| 1033344239 | Erin Marie Deegan | Psychiatry & Neurology | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1891319422 | Dermatology Institute and Skin Cancer Center LLC | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2020-05-29 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| Find all providers in zip 32163 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740796200 | Vanessa Walantus | Nurse Practitioner | 1400 N Us Highway 441 Ste 902, The Villages, FL 32159-6811 | 2017-12-20 |
| 1942725098 | Chelsy Kay Fazio | Nurse Practitioner | 910 Old Camp Rd Ste 112, The Villages, FL 32162-5605 | 2017-08-10 |
| 1619497112 | Lindsey Gagnon | Nurse Practitioner | 11950 County Road 101 Ste 203, The Villages, FL 32162-9334 | 2017-06-26 |
| 1245652817 | Angela Mastracchio Kelly-shelby | Nurse Practitioner | 627 Quinby Way, The Villages, FL 32162-8698 | 2014-01-15 |
| 1508181850 | Scott Moran | Nurse Practitioner | 1670 Long Loop, The Villages, FL 32163-2863 | 2010-03-30 |
| 1710930649 | Lori R Esarey | Nurse Practitioner | 1585 Santa Barbara Blvd., Ste B, The Villages, FL 32159 | 2006-05-19 |
| 1497749519 | Jeffery Jerome Mcneil | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2005-09-02 |
| 1275141954 | Samantha Johnson | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2020-07-17 |
| 1275151227 | Vickie Hodges | Nurse Practitioner | 8491 Se 165th Mulberry Ln, The Villages, FL 32162-5847 | 2020-07-07 |
| 1790322873 | Amber Giese | Nurse Practitioner | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2019-12-08 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on KIM M COFFEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.