Provider Type Icon

MRS. NICOLE COOLIDGE CPNP-AC FNP-C NPI 1003207804

NPI Profile

NPI: 1003207804
Provider Name: MRS. NICOLE COOLIDGE, CPNP-AC, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Get Directions

Phone: (404) 785-6682

MRS. Nicole Coolidge, CPNP-AC, FNP-C is a family nurse practitioner in Atlanta, GA. MRS. Nicole Coolidge, CPNP-AC, FNP-C NPI is 1003207804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 785-6682

The NPI 1003207804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2015 and was last updated on 8/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsRN191595GEORGIANo
2363LF0000XNurse PractitionerFamilyRN191595GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/5/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.