Individual provider Active NPI

Laura Coleman, NC-BC, NP-P

  • Psychiatric/Mental Health Nurse Practitioner
  • Nyack, NY
National Provider Identifier
1013513035
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403689 Issued in NY
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

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221002738 NY Practitioner - Nurse Practitioner 9234520552 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
728987NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Registered Professional Nurse, PLLC CurrentSince Nov 5, 2023 Accepting new patients
Refuah Health Center Inc CurrentSince Nov 1, 2021 Accepting new patients
Refuah Health Center, Inc. CurrentSince Nov 1, 2021 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.

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

Verify at the official NPI Registry.