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Active NPI 1740831767 Individual Practitioner Female Practitioner

Jacqueline Renee Coghill

Nurse Practitioner - Primary Care • Eureka, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jacqueline Coghill is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Eureka, CA. Official NPI practice address is registered at WATERFRONT RECOVERY SERVICES.

Practice Location & Contact Primary Location

Practice Address

Waterfront Recovery Services
2413 2nd St

Eureka, CA 95501

Telephone 7072699590
Fax 7074452599
Associated Practice Facility / Clinic
🏢 Waterfront Recovery Services Facility NPI 1417307125

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Eureka, CA (1139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CA 95012163

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Doctor
1417307125 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Krystal Arnot

Case Manager/Care Coordinator

NPI 1013148790
NPI 1043404239
James George

Counselor - Addiction (Substance Use Disorder)

NPI 1043914914
Margaret Hill

Case Manager/Care Coordinator

NPI 1053628586
Laura Granados

Case Manager/Care Coordinator

NPI 1053736330
Sara Dianish

Student in an Organized Health Care Education/Training Program

NPI 1073948352

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2019

Registered at WATERFRONT RECOVERY SERVICES, 2413 2ND ST, EUREKA, CA 95501 (Tel: 7072699590)

📍
Updated Business Mailing Address September 20, 2019

Registered at 3126 J ST, EUREKA, CA 955035416 (Tel: 7075996736)

👤
Provider Name / Credentials Updated September 20, 2019

Recorded as JACQUELINE COGHILL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2019

Nurse Practitioner (License #95012163 in CA)

🟢
Initial NPI Registration & Enumeration September 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740831767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2019
Last Update: September 20, 2019
Sole Proprietor: No

Mailing Address

3126 J St

Eureka, CA 955035416

Phone: 7075996736

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.