DR. KELLY K COLEMAN (NPI# 1407189756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407189756 |
| Entity Type | Individual |
| Full Name | DR. KELLY K COLEMAN |
| Credential | PSY.D., ABPP, RD |
| Practice Address |
801 Broadway Suite 800 Seattle WA 98122-4396 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2062152090 |
| Practice Fax Number | 2062153099 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2015-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 60130390 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-1225 | HI | Behavioral Health & Social Service Providers |
| N | 133V00000X | Dietitian, Registered | 60056916 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | DRIVERS LICENSE | H00433047 | 01 |
| 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 |
| 1174980437 | Kelly Coleman | Clinical Nurse Specialist | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2016-01-18 |
| 1629395454 | Kelly Marcus Coleman | Anesthesiology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2010-05-04 |
| 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 |
801 BROADWAY SUITE 800 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586792 | Do-kyun Kyle Kim | Neurological Surgery | 801 Broadway, Suite 617, Seattle, WA 98122-4396 | 2005-08-25 |
| 1063959906 | Dayna E Morgan | Nurse Practitioner | 801 Broadway, Suite 300, Seattle, WA 98122-4396 | 2017-01-30 |
| 1033574371 | Proliance Surgeons Inc Ps | Neurological Surgery | 801 Broadway, Suite 617, Seattle, WA 98122-4396 | 2015-12-30 |
| 1477921484 | Laura Ann Eggerichs | Dietitian, Registered | 801 Broadway, Suite 800, Seattle, WA 98122-4396 | 2015-09-08 |
| 1245608512 | Breanna Oberlin | Dietitian, Registered | 801 Broadway, 611, Seattle, WA 98122-4396 | 2015-09-03 |
| 1427455039 | Jessica Anne Reber | Dietitian, Registered | 801 Broadway, Ste 611, Seattle, WA 98122-4396 | 2014-11-25 |
| 1699190611 | Colleen Dawkins | Nurse Practitioner | 801 Broadway, Suite 800, Seattle, WA 98122-4396 | 2014-02-27 |
| 1578904496 | Megan Elizabeth Moore | Dietitian, Registered | 801 Broadway, Suite 800, Seattle, WA 98122-4396 | 2013-07-08 |
| 1356605257 | Richard L Agress Md | Obstetrics & Gynecology | 801 Broadway, Suite 628, Seattle, WA 98122-4396 | 2012-06-26 |
| 1184982407 | Sonni Erika Simerly | Physician Assistant | 801 Broadway, Suite 617, Seattle, WA 98122-4396 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
| Find all providers in SEATTLE | ||||
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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.