MRS. NIKKI LYNN COYNE (NPI# 1073656526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073656526 |
Entity Type | Individual |
Full Name | MRS. NIKKI LYNN COYNE |
Credential | DPT |
Practice Address |
1015 Laurel Valley Dr Sw Marietta GA 30064-3973 |
Practice Telephone | 3042800815 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2008-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
009240 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BCBS OF GA | 393730 | 01 |
Street Address |
1015 LAUREL VALLEY DR SW |
City | MARIETTA |
State | GA |
Zip Code | 30064-3973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
Find all providers in zip 30064 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235515784 | Theodore Phillip Ziaylek Jr. | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2015-08-07 |
1235449612 | Sidney Lamb Cambardella | Physical Therapist | 1000 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068-2114 | 2010-10-19 |
1790096097 | Jessica Neff Grussemeyer | Physical Therapist | 670 North Ave Nw, Suite 201, Marietta, GA 30060-1100 | 2010-07-01 |
1467780346 | Ann Marie Lowers | Physical Therapist | 401 Matthew St, Suite 210, Marietta, OH 45750-1635 | 2009-12-03 |
1366609133 | Kimberly B Lassiter | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2008-05-20 |
1194925669 | Jeremy H Campbell | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2007-07-23 |
1790714434 | Lauren Elise Connolly | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2006-07-03 |
1295762557 | Avra Lenore Souval | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2006-06-26 |
1467416107 | Alison B. Munroe | Physical Therapist | 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 | 2006-04-12 |
1396712949 | Tara B. Henderson | Physical Therapist | 61 Whitcher St Ne, Suite 1150, Marietta, GA 30060-1176 | 2006-03-02 |
Find all providers in MARIETTA |
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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.