Active NPI
Laura Coleman, NC-BC, NP-P
- Psychiatric/Mental Health Nurse Practitioner
- Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403689
- Practice address
- 1 Piermont Ave
Nyack, NY 10960-3208 - Phone
- (917) 745-5185
- NPI assigned
- Dec 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 728987 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403689 | NY | Primary |
Addresses
Primary practice location
1 Piermont Ave
Nyack, NY 10960-3208
Mailing address
PO Box 622
Nyack, NY 10960-0622
Other practice location 1
48 S Broadway Unit 622
Nyack, NY 10960-7555
Phone (845) 377-3281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- New York University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
48 S Broadway
Unit 622
Nyack, NY 10960-7555
Phone (917) 745-5157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 728987 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Registered Professional Nurse, PLLC | Current | Accepting new patients | |
| Refuah Health Center Inc | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients |
Locations
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
48 S Broadway
Unit 622
Nyack, NY 10960
Phone (845) 377-3281
1 Piermont Ave
Nyack, NY 10960
Phone (917) 531-1420
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Nyack, NY
- NPI 1487333647
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1013513035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 622",
"city": "NYACK",
"state": "NY",
"postal_code": "109600622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PIERMONT AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109603208",
"telephone_number": "917-745-5185"
}
],
"practiceLocations": [
{
"address_1": "48 S Broadway Unit 622",
"address_purpose": "LOCATION",
"city": "Nyack",
"state": "NY",
"postal_code": "109607555",
"country_code": "US",
"telephone_number": "845-377-3281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "LAURA",
"credential": "NC-BC, NP-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-06",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "728987",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.