CAROL S. COFFEE (NPI# 1316591340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316591340 |
| Entity Type | Individual |
| Full Name | CAROL S. COFFEE |
| Credential | RN |
| Practice Address |
504 S Vine St Advance MO 63730-8060 |
| Mailing Address |
Po Box 435 Advance MO 63730-0435 |
| Practice Telephone | 5737226111 |
| Practice Fax Number | 5737226555 |
| Mailing Telephone | 5737226111 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
2001031601 | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 266135003 | 05 |
| Street Address |
504 S VINE ST |
| City | ADVANCE |
| State | MO |
| Zip Code | 63730-8060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139172 | Bits of Heaven In Home Services, LLC | Home Health | 504 S Vine St, Advance, MO 63730-8060 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292302 | Kimberly Backfisch | Counselor | 105b N Oak St, Advance, MO 63730 | 2020-07-09 |
| 1306272653 | Phelps In-home Care, LLC | In Home Supportive Care | 201 W. Sturdivant St., Advance, MO 63730 | 2013-09-18 |
| 1265691869 | Advance Medical Clinic | Clinic/Center | 103 South Oak Street, Advance, MO 63730 | 2008-06-09 |
| 1063620565 | Jerrilyn D Adkisson | Point of Service | 24777 State Hwy 25, Advance, MO 63730 | 2007-05-18 |
| 1063553402 | Advance R-iv Public Schools | Local Education Agency (LEA) | 19805 State Hwy C, Advance, MO 63730 | 2007-02-09 |
| 1154476919 | Cindy Beussink | Speech-Language Pathologist | 19134 County Rd 208, Advance, MO 63730 | 2007-01-24 |
| 1225191752 | Cross Trails Medical Center | Clinic/Center | 307 Gabriel St., Advance, MO 63730 | 2006-12-18 |
| 1346356177 | Haven Health Cares | Clinic/Center | 502 West Sturdivant Street, Advance, MO 63730 | 2006-08-22 |
| 1841508264 | Cross Trails Medical Center | Dentist | 307 Gabriel St, Advance, MO 63730 | 2010-09-20 |
| 1326242645 | Mary Diane Reeves | Speech-Language Pathologist | 19805 State Hwy C, Box 370, Advance, MO 63730 | 2007-06-12 |
| Find all providers in zip 63730 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668548 | Kayse Marie Nichols | Registered Nurse | 2807 Fox Meadow Ln, Arnold, MO 63010-2867 | 2020-10-28 |
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
| 1184143794 | Brenda Joyce Alexander | Registered Nurse | 2420 E Linwood Blvd Ste 300d, Kansas City, MO 64109-2142 | 2017-09-14 |
| 1871991034 | Debra M Stone-casper | Registered Nurse | 2093 Us Highway 67, Festus, MO 63028-3669 | 2014-12-19 |
| 1245657717 | Janis Dickerman | Registered Nurse | 9524 Corregidor Dr, Saint Louis, MO 63134-4024 | 2014-03-23 |
| 1518274364 | Latisha Shirose Washington | Registered Nurse | 6202 Dupree Ave, Ferguson, MO 63135-3219 | 2010-08-31 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| 1407992795 | Kelly Dawn Reid | Registered Nurse | 1708 Spruce Dr, High Ridge, MO 63049-1867 | 2007-01-30 |
| 1467533604 | Sherilyn K Clark | Registered Nurse | 110 S. 2nd St., Ellington, MO 63638 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
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| 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.