MR. JEREMY GLENN COFFELT LPN
NPI 1710293923
Licensed Practical Nurse in Fort Leonard Wood, MO

NPI Status: Active since August 25, 2010

Contact Information

126 MISSOURI AVE
FORT LEONARD WOOD, MO
ZIP 65473
Phone: (573) 596-1600
Fax: (573) 596-0555

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  • Individual
  • Male
  • Licensed Practical Nurse

About JEREMY COFFELT

This page provides the complete NPI Profile along with additional information for Jeremy Coffelt, a provider established in Fort Leonard Wood, Missouri with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1710293923 assigned on August 2010. The practitioner's primary taxonomy code is 164W00000X with license number 2006031395 (MO). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1710293923
Provider Name
MR. JEREMY GLENN COFFELT LPN
Gender
Male
Entity Type
Individual
Location Address
126 MISSOURI AVE FORT LEONARD WOOD, MO 65473
Location Phone
(573) 596-1600
Location Fax
(573) 596-0555
Mailing Address
1607 HISTORIC 66 W LOT 6 WAYNESVILLE, MO 65583
Is Sole Proprietor?
No
Enumeration Date
08-25-2010
Last Update Date
08-25-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
2006031395
License State
MO
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710293923
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272049694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 9 + 6 + 9 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1710293923 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336138643MR. THOMAS HOUSTON HUME II PA-C MPAS
Individual
Physician Assistant126 MISSOURI AVE GLWACH ATTN MCXP CCS CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1366431488MR. JOHN SEBASTIAN WONG CRNA
Individual
Nurse Anesthetist, Certified Registered126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1962492926MS. MARILYNN MOEHLE CPNP-PC
Individual
Nurse Practitioner (Pediatrics)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1851381842DR. MIMMS J MABEE D.O., M.P.H.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)126 MISSOURI AVE GLWACH ATTN: MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1518957638MR. PATRICK JOHN POLLMAN FNP
Individual
Nurse Practitioner (Family)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1164412219DR. DAVID WOODLAND HAUSE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)126 MISSOURI AVE GLWACH ATTN: MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1942291000DR. TIMOTHY WAYNE CRAIN M.D.
Individual
Urology126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1376533455DR. LYMAN KELTON HENSON MD
Individual
Family Medicine126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-1680
1275524274DR. AARON LEE JACOB MD
Individual
General Practice126 MISSOURI AVE GLWACH ATTN: MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1881685675MS. BECKY A RAGLAND LCSW
Individual
Counselor (Mental Health)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1255322905MR. REXFORD ALLAN PLANK III PA-C
Individual
Physician Assistant (Medical)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1679564009 RONALD G. SNYDER PA-C
Individual
Physician Assistant (Surgical)126 MISSOURI AVE GLWACH-ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1114908795 TOBEN LYBARGER PHYSICIAN ASSISTANT
Individual
Physician Assistant126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-0456
1598747578 TRACI MAE HEESE APRN
Individual
Nurse Anesthetist, Certified Registered126 MISSOURI AVE GLWACH (ATTN: SHEILA HAM)
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1770567372MS. SUSAN KAREN RENO MSSW
Individual
Social Worker (Clinical)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1932184009MS. ANGELA BETH WYATT BSN
Individual
Registered Nurse (Community Health)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1417933037MR. WALTER KEN CLARK MSSW
Individual
Social Worker (Clinical)126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1295713246MRS. LAURIE ANNE MOORE P.A.
Individual
Physician Assistant126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1447222484DR. JOHN L WESTHOFF II M.D.
Individual
Emergency Medicine126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417
1689646341DR. JOEL CHRISTOPHER BUJARSKI PH.D.
Individual
Psychologist (Clinical)126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
(573) 596-0417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710293923, enumerated in the NPI registry as an "individual" on August 25, 2010

The provider is located at 126 Missouri Ave Fort Leonard Wood, Mo 65473 and the phone number is (573) 596-1600

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on August 25, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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