MS. CHRISTIE LEA COGGBURN (NPI# 1861610503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861610503 |
| Entity Type | Individual |
| Full Name | MS. CHRISTIE LEA COGGBURN |
| Credential | RD, LD,CSR |
| Practice Address |
100 S Bliss Ave Tahlequah OK 74464-2512 |
| Mailing Address |
118 Eubanks Tahlequah OK 74464-8841 |
| Practice Telephone | 9184583178 |
| Mailing Telephone | 9184311515 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD982 | OK | Dietary & Nutritional Service Providers |
| Street Address |
100 S BLISS AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727198 | Owen Buck Gilmore | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-08-10 |
| 1669085049 | Catherine Bailey Mcguffey | Physician Assistant | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-26 |
| 1679183404 | Kathryn Nicole Martin | Advanced Practice Midwife | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-06 |
| 1548882103 | Stacy Lynn Rutherford | Registered Nurse | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-05-17 |
| 1033739354 | Kelsey Kitchens | Audiologist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-17 |
| 1952930257 | Athena Chatzigiannidis | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1942839394 | Sean Crawford | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1912544735 | Henri Jade Casey | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-12-01 |
| 1831743624 | Sonny Jefferson James Downing | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-07-30 |
| 1275190688 | Sam Blake Campbell | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851613236 | Jessica L. Stauffer | Dietitian, Registered | 9215 S Fulton Ave, Tulsa, OK 74137-4018 | 2010-02-25 |
| 1790924801 | Joy Elizabeth Galloway | Dietitian, Registered | 1720 Wilshire Dr, Duncan, OK 73533-1432 | 2009-02-12 |
| 1376755058 | Karan Kay Dalgas | Dietitian, Registered | 6358 So. 80th E. Ave., Apt. G, Tulsa, OK 74133 | 2007-05-04 |
| 1871132928 | Jessica Hoppock-smith | Dietitian, Registered | 925 Ne 8th St, Oklahoma City, OK 73104-5800 | 2020-01-06 |
| 1194960443 | Angelina Suman Smith | Dietitian, Registered | 9636 N May Ave, Suite 279, Okc, OK 73120 | 2008-12-15 |
| 1629299987 | Kristen Michelle Floyd | Dietitian, Registered | 1923 E 21st St, Tulsa, OK 74114-1402 | 2007-05-02 |
| 1477576320 | Krista Kay Grinstead | Dietitian, Registered | 3500 State St, Bartlesville, OK 74006-2932 | 2006-07-25 |
Please comment or provide details below to improve the information on MS. CHRISTIE LEA COGGBURN.
| 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.