Tannyka Coleman, BSN RN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-49015 Issued in MD

Practice address

610 N Chester St
Baltimore, MD 21205-2303

Phone

(410) 675-2125

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1003312562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 NORTHMONT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CHESTER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052303",
            "telephone_number": "410-675-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Mercantile Ln",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207745374",
            "country_code": "US",
            "telephone_number": "301-618-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TANNYKA",
        "name_prefix": "Ms.",
        "credential": "BSN RN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R183794",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "L-49015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nia Coleman, DDS
• Sheila Coleman
• Stan L Coleman, M.D.
• Steven R Coleman, MD
• Susanne Coleman, MA, CCC-SLP
• Tiffany Beaumont Coleman, CRNP
• Yolanda Alisa Coleman
• Rhonda Ann Colen, MS-CCC-SLP
• Amanda Coles, DOULA
• Gloria D Coles, REGISTERED NURSE

• Lactation Consultant (Registered Nurse) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Lactation Consultant (Registered Nurse) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.