Active NPI
Jenny Coleman, RD
- Registered Dietitian
- Monument, CO
National Provider Identifier
1013502335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86101359
- Practice address
- 15694 Lacuna Dr
Monument, CO 80132-6015 - Phone
- (719) 339-8091
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86101359 | Primary |
Addresses
Primary practice location
15694 Lacuna Dr
Monument, CO 80132-6015
Mailing address
15694 Lacuna Dr
Monument, CO 80132-6015
Phone (719) 339-8091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uch-MHS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Colorado Springs, CO
- NPI 1417512559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1013502335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15694 LACUNA DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326015",
"telephone_number": "719-339-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15694 LACUNA DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326015",
"telephone_number": "719-339-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "JENNY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86101359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
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- Trent Claypool, PSY.D.
- William Earl Cleghorn III
- Thomas Harland Close, D.C.
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- Colorado Springs Senior Care, PLLC
- Colorado'S Network for Developmental Disabilities LLC
- Comfort Dental Oral Surgery Colorado Springs LLC
- Connect Counseling & Psychological Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.