TIM ANDREW COFFEY (NPI# 1487621942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487621942 |
| Entity Type | Individual |
| Full Name | TIM ANDREW COFFEY |
| Credential | IDC |
| Practice Address |
Medical Department Uss Abraham Lincoln Fpo-ap Everett WA 96612-2872 |
| Mailing Address |
13017 42nd Ave Se Everett WA 98208 |
| Practice Telephone | 4253045123 |
| Practice Fax Number | 4253045166 |
| Mailing Telephone | 4253373843 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225138803 | Tim Coffey | Nurse Practitioner | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-09-24 |
| Street Address |
MEDICAL DEPARTMENT USS ABRAHAM LINCOLN FPO-AP |
| City | EVERETT |
| State | WA |
| Zip Code | 96612-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508049818 | Monica J Brown | Military Health Care Provider | Uss Abraham Lincoln, Health Services Medical Division, Fpo, AP 96612 | 2007-12-10 |
| 1447213665 | James Arthur Lessard | Physician Assistant | Uss Abraham Lincoln # 72, Fpo, AP 96612-2872 | 2006-04-10 |
| 1720064611 | Richard P. Campbell | Dentist | Uss Abraham Lincoln (cvn 72), Fpo, AP 96612-2872 | 2005-12-21 |
| 1639428667 | Wade Robert Kernan | Military Health Care Provider | Uss Abraham Lincoln, Cvn 72, Fpo, AP 96612-2872 | 2012-09-06 |
| 1447486170 | Christopher Eric Crecelius | Dentist | Uss Abraham Lincoln, (cvn72) Dental Division, Fpo, AP 96612-2872 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750254 | Ronel Kay Wilcox | Registered Nurse | 2516 104th Pl Se, Everett, WA 98208-4472 | 2020-11-06 |
| 1114528056 | Washington Center for Pain Management | Pain Medicine | 607 Se Everett Mall Way Ste 2, Everett, WA 98208-3210 | 2020-11-06 |
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1508467143 | Digna M Reyes | Interpreter | 1313 102nd Pl Sw, Everett, WA 98204-8702 | 2020-11-02 |
| 1912505553 | Hani Henry Gewida | Interpreter | 2026 124th St Se, Everett, WA 98208-6610 | 2020-10-15 |
| 1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
| 1457959546 | Option Care Enterprises, Inc. | Home Infusion | 728 134th St Sw Ste 128, Everett, WA 98204-5322 | 2020-10-12 |
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1679170054 | Jamie Rose Stolp | Massage Therapist | 4626 Fowler Ave, Everett, WA 98203-2719 | 2020-10-08 |
| 1801493960 | Velles Counseling Services LLC | Counselor | 2209 Rockefeller Ave, Everett, WA 98201-2841 | 2020-10-02 |
| Find all providers in EVERETT | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710557 | Randle Scott Groves | Military Health Care Provider | Psns&imf Det Everett, 2000 West Marine Drive, Bldg 2202, Everett, WA 98207 | 2017-06-14 |
| 1154491132 | Gary Matthew Virdell | Military Health Care Provider | Naval Health Clinic, Naval Station Everett, Bldg 2110, Everett, WA 98207 | 2006-11-08 |
| 1487723532 | Karl Frederic Matous | Military Health Care Provider | Msron 9 Naval Station Everett, 2000 Marine View Drive Building 2134, Everett, WA 98207-0001 | 2006-11-06 |
| 1689933210 | Nicolas Shane Gomez | Military Health Care Provider | 2000 W Marine View Dr, Bldg 2202 Psns/imf Dive Locker - Medical, Everett, WA 98207-0001 | 2012-05-16 |
| 1306044268 | Armando Garza | Military Health Care Provider | 2000 W Marine View Dr, Everett, WA 98207-0001 | 2007-07-03 |
| 1326171570 | Andre Maurice Cardenas | Military Health Care Provider | 2000 W Marine View Dr, Bldg 2010, Everett, WA 98207-0001 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669022810 | Shannon Dawkins | Military Health Care Provider | 2150 Thresher Ave, Silverdale, WA 98315-2103 | 2019-09-18 |
| 1669033098 | Crystal Belle Phipps Bloomfeldt | Military Health Care Provider | 214 Autumn Hills Rd, Kelso, WA 98626-9018 | 2019-06-26 |
| 1649830779 | Monica Yineman | Military Health Care Provider | 9812 Enchantment Ave Nw, Silverdale, WA 98383-8822 | 2019-06-20 |
| 1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
| 1326521097 | Elizabeth Nicole Sifuentes | Military Health Care Provider | Uss Michigan- Commander Sub Group Nine, 2150 Thresher Ave, Silverdale, WA 98315-2150 | 2018-09-10 |
| 1235599234 | Corey Thacker | Military Health Care Provider | 1912 Nw Circle Dr N, Poulsbo, WA 98370-9527 | 2016-03-03 |
| 1679965222 | Asher Abbott White Jr. | Military Health Care Provider | 8806 86th Ave Nw, Gig Harbor, WA 98332-6752 | 2015-02-19 |
| 1023414927 | Larry Jones | Military Health Care Provider | 386 Nw Dory Dr, Oak Harbor, WA 98277-2077 | 2014-11-05 |
| 1598027237 | Epafara Jeffrey Vaitautolu | Military Health Care Provider | 30 Wencker Way Apt A, Bremerton, WA 98312-1861 | 2012-06-08 |
| 1841595352 | Brandon Alexander Martinfrazier | Military Health Care Provider | 610 Dowell St., Bldg. 6, Keyport, WA 98345 | 2011-01-13 |
| 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.