MINDY DAWN COAKLEY (NPI# 1811475809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811475809 |
| Entity Type | Individual |
| Full Name | MINDY DAWN COAKLEY |
| Other Name | MINDY DAWN BRAINARD |
| Credential | AGNP |
| Practice Address |
4100 Jackson Ave Austin TX 78731-6056 |
| Mailing Address |
2203a Lanier Dr Austin TX 78757-7738 |
| Practice Telephone | 5124544711 |
| Mailing Telephone | 5125603367 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
756883 | TX | Nursing Service Providers |
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
756883 | TX | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP144899 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP144899 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP144899 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 388821601 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2203a Lanier Dr, Austin, TX 787577738 | 5125603367 | |
| 3508 Far West Blvd Ste 130, Austin, TX 787313081 | 5128283990 | 5127959847 |
| 4107 Spicewood Springs Rd, Austin, TX 787598660 | 5123424700 | 5123437117 |
| Street Address |
4100 JACKSON AVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497737472 | Westminster Manor | Skilled Nursing Facility | 4100 Jackson Ave, Austin, TX 78731-6056 | 2005-11-16 |
| 1003434549 | Ashley Ruthven | Speech-Language Pathologist | 4100 Jackson Ave, Austin, TX 78731-6056 | 2020-07-10 |
| 1437704897 | Adaeze Okoro | Physical Therapist | 4100 Jackson Ave, Austin, TX 78731-6056 | 2019-08-02 |
| 1306314539 | Westminster Manor | Clinic/Center | 4100 Jackson Ave, Austin, TX 78731-6056 | 2018-11-06 |
| 1073094926 | Katharine Mary Przystac | Occupational Therapist | 4100 Jackson Ave, Austin, TX 78731-6056 | 2018-08-28 |
| 1881100543 | Sarah Elisabeth Bennett | Speech-Language Pathologist | 4100 Jackson Ave, Austin, TX 78731-6056 | 2017-12-18 |
| 1427450584 | Vanessa Martin | Speech-Language Pathologist | 4100 Jackson Ave, Austin, TX 78731-6056 | 2014-09-19 |
| 1245656289 | David Porianda | Physical Therapist | 4100 Jackson Ave, Austin, TX 78731 | 2014-03-14 |
| 1780821603 | Home Health Care Services LLC | Clinic/Center | 4100 Jackson Ave, Austin, TX 78731-6056 | 2009-01-14 |
| 1447446240 | Rehabcare | Clinic/Center | 4100 Jackson Ave, Austin, TX 78731-6056 | 2007-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848516 | Sarah Beth Wilke | Nurse Practitioner | 10244 Missel Thrush Dr, Austin, TX 78750-2137 | 2020-07-11 |
| 1023590023 | Carlos Antonio-palting Garcia | Nurse Practitioner | 8101 Cameron Rd Ste 101, Austin, TX 78754-3816 | 2018-09-05 |
| 1871008045 | Susanna Claire Perry | Nurse Practitioner | 3901 Spicewood Springs Rd # 201, Austin, TX 78759-8723 | 2017-12-09 |
| 1215441068 | Jocelyn Ybarra | Nurse Practitioner | 3000 N Ih 35 Ste 700, Austin, TX 78705-1852 | 2017-11-30 |
| 1073058145 | Kerri Nicole Hooper-thigpen | Nurse Practitioner | 14408 American Kestrel Dr, Austin, TX 78738-6520 | 2016-12-28 |
| 1114385309 | Joseph Ramuta Oleary | Nurse Practitioner | 15 Waller Street, Rbj Bldg., Austin/travis County Health & Human Services, Austin, TX 78702-5240 | 2016-02-03 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1245656057 | Michelle Richardson | Nurse Practitioner | 7610 W Highway 71 Ste F, Austin, TX 78735-8239 | 2014-03-17 |
| 1376801282 | Christina Angela Romain | Nurse Practitioner | 16219 Ranch Road 620 N, Austin, TX 78717 | 2012-04-27 |
| 1417231069 | Edna Eichler | Nurse Practitioner | 6801 River Place Blvd, Austin, TX 78726-4530 | 2011-09-30 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on MINDY DAWN COAKLEY.
| 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.