ABIGAIL COFFIN (NPI# 1376643809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376643809 |
| Entity Type | Individual |
| Full Name | ABIGAIL COFFIN |
| Credential | NP |
| Practice Address |
107 Sunnybrook Rd Unc Healthcare At Wakebrook Raleigh NC 27610-1827 |
| Practice Telephone | 9849744856 |
| Practice Fax Number | 9849744918 |
| Mailing Telephone | 9849744828 |
| Mailing Fax Number | 9849744994 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
205888 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6113015 | 05 |
| Street Address |
107 SUNNYBROOK RD UNC HEALTHCARE AT WAKEBROOK |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854730 | Joseph Balla | Psychiatry & Neurology | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2005-07-11 |
| 1750908430 | William Harold Smith | Nurse Practitioner | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-06-29 |
| 1598391666 | Marissa Lauren Jones | Recreation Therapist | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-20 |
| 1790310274 | Adepeju Adeola Bolaji | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-05 |
| 1326680851 | Martha Hawkins | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-16 |
| 1043852957 | Jonathan Conyers Levine | Social Worker | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-11 |
| 1477109940 | Lisa Beresnyak | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-08-12 |
| 1720646227 | Nicole Ann Stoneback | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-05-31 |
| 1942706981 | Pamela Petack Dingman | Occupational Therapy Assistant | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2018-03-30 |
| 1093234460 | Crystal Elizabeth Russell | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2017-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1720490899 | Katherine Bilbro Fisher | Nurse Practitioner | 319 Chapanoke Rd Ste 120, Raleigh, NC 27603-3433 | 2014-05-23 |
| 1144651951 | Maria Agiato | Nurse Practitioner | 859 Washington St Ste A, Raleigh, NC 27605-3250 | 2013-12-04 |
| 1588091532 | Rejuvenated Minds, Pllc | Nurse Practitioner | 3719 Benson Drive, Raleigh, NC 27609-7324 | 2013-10-07 |
| 1598010803 | Linda Simpson Grimes | Nurse Practitioner | 3201 Edwards Mill Rd Ste 141, #163, Raleigh, NC 27612-5371 | 2012-07-24 |
| 1891040234 | Mary Anne Hughes | Nurse Practitioner | 8390 Six Forks Rd Ste 201, Raleigh, NC 27615-3060 | 2012-07-23 |
| 1447511779 | Rachell P Davis | Nurse Practitioner | 3719 Benson Dr, Suite 200, Raleigh, NC 27609-7324 | 2012-06-04 |
| 1992077788 | Ashley Hageman | Nurse Practitioner | 3012 Falstaff Rd, Raleigh, NC 27610 | 2012-02-08 |
| 1629372974 | Elizabeth Amos Corbett | Nurse Practitioner | 8801 Fast Park Dr Ste 107, Raleigh, NC 27617-4853 | 2010-12-30 |
| 1033386446 | Pamela Lynn Herbig Wall | Nurse Practitioner | 1130 Situs Ct, Ste 190, Raleigh, NC 27606-3391 | 2008-05-14 |
| Find all providers in RALEIGH | ||||
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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.