COFFMAN FAMILY CARE AND WELLNESS, PLLC
NPI 1891418281
Nurse Practitioner - Primary Care in Beaver Dam, KY

Q: What is Coffman Family Care And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since September 21, 2022CLIA 18D2269696 · Waiver

1221 N MAIN ST, BEAVER DAM, KY 42320(270) 339-7791 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coffman Family Care And Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFMAN FAMILY CARE AND WELLNESS, PLLC (NPI 1891418281) is a healthcare organization registered as a primary care in Beaver Dam, Kentucky and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Angela Coffman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891418281

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameCOFFMAN FAMILY CARE AND WELLNESS, PLLC

Location Address1221 N MAIN STBeaver Dam, KY 42320-8955

Mailing Address1000 Thompson DrBeaver Dam, KY 42320-9152 · (270) 339-7791

Phone(270) 339-7791

Organization SubpartNo

Authorized OfficialAngela CoffmanOwner · (270) 339-7791

Enumeration DateSeptember 21, 2022

NPPES CertifiedSeptember 21, 2022

✔ NPI 1891418281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

1221 N MAIN ST, Beaver Dam, KY 42320

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2269696

Coffman Family Care & Wellness · Beaver Dam, KY

Active · expires Sep 29, 2026

CLIA Number18D2269696

Laboratory TypePractitioner Other

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorMs. Angela Coffman

Laboratory Phone(270) 339-7791

Laboratory LocationCoffman Family Care & Wellness1221 N Main Street, Beaver Dam, KY 42320

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA BRIANNE MILLAY FNP-BC

Nurse Practitioner (Family)