TINA SHELTON-COOMER (NPI# 1821569393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821569393 |
Entity Type | Individual |
Full Name | TINA SHELTON-COOMER |
Credential | APRN |
Practice Address |
1030 Monarch St Ste 100 Lexington KY 40513-1820 |
Mailing Address |
10200 Alliance Rd Ste 150 Blue Ash OH 45242-4754 |
Practice Telephone | 2164685000 |
Mailing Telephone | 1397546743 |
Enumeration Date | 2018-12-10 |
Last Update Date | 2018-12-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
3012895 | KY | Nursing Service Providers |
Street Address |
1030 MONARCH ST STE 100 |
City | LEXINGTON |
State | KY |
Zip Code | 40513-1820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427181627 | Ashley S White | Counselor | 1030 Monarch St Ste 100, Lexington, KY 40513-1820 | 2007-03-14 |
1740842715 | Morgan Smither | Nurse Practitioner | 1030 Monarch St Ste 100, Lexington, KY 40513-1820 | 2019-07-01 |
1477115442 | Lauren Wilson | Nurse Practitioner | 1030 Monarch St Ste 100, Lexington, KY 40513-1820 | 2019-07-01 |
1952960387 | Rachel Edge | Nurse Practitioner | 1030 Monarch St Ste 100, Lexington, KY 40513-1820 | 2019-06-10 |
1306301577 | Deborah Goad | Marriage & Family Therapist | 1030 Monarch St Ste 100, Lexington, KY 40513-1820 | 2019-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
Find all providers in zip 40513 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053445858 | Gertrude Harmon | Registered Nurse | 869 Sparta Court, Lexington, KY 40504 | 2007-03-15 |
1164033577 | Shelbi Watts | Registered Nurse | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-08-11 |
1114536927 | Rebecca Lynn Carper | Registered Nurse | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
1538786165 | Delia Cox | Registered Nurse | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-06-30 |
1447877071 | Isabel Irene Jones | Registered Nurse | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
1184251894 | Mistie Mayfield | Registered Nurse | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-03-24 |
1750915104 | Elizabeth Skipworth | Registered Nurse | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-02-25 |
1588294136 | Jaime Gilbert | Registered Nurse | 1351 Newtown Pike Bldg 5, Lexington, KY 40511-1282 | 2020-01-23 |
1659919025 | Rick Harding | Registered Nurse | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-12-17 |
1891331443 | Charisma Symara Norton | Registered Nurse | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2019-11-19 |
Find all providers in LEXINGTON |
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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.