KELLY COLEMAN (NPI# 1174980437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174980437 |
Entity Type | Individual |
Full Name | KELLY COLEMAN |
Credential | MSN, APRN, AGCNS-BC |
Practice Address |
7800 Shoal Creek Blvd Ste 130w Austin TX 78757 |
Mailing Address |
7800 Shoal Creek Blvd Ste 130w Austin TX 78757-1040 |
Practice Telephone | 5124078880 |
Practice Fax Number | 5124078681 |
Mailing Telephone | 5124078880 |
Mailing Fax Number | 5124078681 |
Enumeration Date | 2016-01-18 |
Last Update Date | 2019-01-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
AP129019 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS APRN LICENSE NUMBER | AP129019 | 01 |
TX | 1174980437 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
7710 Rialto Blvd Unit 150, Austin, TX 78735 | 5122880859 | 5123014821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033660089 | Kelly Coleman | Specialist/Technologist | 160 Windermere Ave Apt 4603, Ellington, CT 06029-3949 | 2016-10-14 |
1093332363 | Kelly Ann Coleman | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-07-02 |
1053890301 | Kelly Marie Coleman | Physical Therapist | 168 Industrial Dr Unit 5, Mashpee, MA 02649-3562 | 2018-08-08 |
1245721182 | Kelly Coleman | Psychologist | 162 Main St, Hamburg, NY 14075-4917 | 2018-05-26 |
1497107536 | Kelly J Coleman | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-07-12 |
1629395454 | Kelly Marcus Coleman | Anesthesiology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2010-05-04 |
1407189756 | Kelly K Coleman | Psychologist | 801 Broadway, Suite 800, Seattle, WA 98122-4396 | 2009-09-17 |
1760635122 | Kelly Lynn Coleman | Physical Therapist | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2008-10-29 |
1982863353 | Kelly Alan Coleman | Physical Therapist | 1342 E Primrose Street, Suite A, Springfield, MO 65804-4224 | 2008-06-02 |
1396929865 | Kelly Ann Coleman | Counselor | 1460 Livingston Ave, North Brunswick, NJ 08902-1873 | 2007-12-20 |
Street Address |
7800 SHOAL CREEK BLVD STE 130W |
City | AUSTIN |
State | TX |
Zip Code | 78757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154311496 | Koshy K Varghese | Emergency Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2005-10-27 |
1871143560 | Venessa Gonzalez Robles | Nurse Practitioner | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2019-09-16 |
1174097299 | Tarah E Wood | Nurse Practitioner | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2019-01-11 |
1912259763 | Karen B Wallen | Nurse Practitioner | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2012-10-03 |
1326202169 | Leticia Iliana Tiscareno-grajeda | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2008-07-10 |
1821121112 | Marenda D Dent | Family Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2007-03-14 |
1962553149 | Yale S Pearlson | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2007-01-15 |
1780748673 | Sharon R Mcgeeney | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2006-12-22 |
1821175407 | Thomas M Daniel | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
Find all providers in zip 78757 |
Taxonomy Code | 364SG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760039796 | Garry Adam Francis-verbeelen | Clinical Nurse Specialist | 6406 N Ih 35 Ste 2600, Austin, TX 78752-4337 | 2019-08-23 |
1861941692 | Angela Reagan Payne | Clinical Nurse Specialist | 1400 N Ih 35 Ste 400, Austin, TX 78701-1926 | 2016-09-21 |
1629679709 | Debra Traynor Biskobing | Clinical Nurse Specialist | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2020-11-04 |
1730791799 | Lynnea Elisabeth Edwards | Clinical Nurse Specialist | 12731 Research Blvd Ste B200, Austin, TX 78759-4387 | 2020-08-20 |
1669022398 | Erin Alexandra Curra-spurger | Clinical Nurse Specialist | 919 E 32nd St, Austin, TX 78705-2703 | 2019-09-15 |
1164087417 | Tomoko Hattori | Clinical Nurse Specialist | 12701 Rr 620 N Ste 101, Austin, TX 78750-1141 | 2019-05-02 |
1114406246 | Sarah Mcbride | Clinical Nurse Specialist | 12221 N Mopac Expy, Austin, TX 78758 | 2018-08-09 |
1033669346 | Golnaz Sadr | Clinical Nurse Specialist | 2600 E Martin Luther King Jr Blvd, Austin, TX 78702-1449 | 2016-10-11 |
1659734408 | Laura Benton | Clinical Nurse Specialist | 4100 Duval Rd Bldg 3, Suite 200, Austin, TX 78759-4275 | 2016-03-30 |
1356708630 | Tasha Hudson | Clinical Nurse Specialist | 1400 N Ih 35, Suite 300, Austin, TX 78701-1926 | 2016-01-18 |
Find all providers in AUSTIN |
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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.