Active NPI
Marcella Coleman, SPEECH-LANGUAGE PATH
- Speech-Language Pathologist
- Upper Marlboro, MD
National Provider Identifier
1023581998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05406
- Practice address
- 11454 Dunloring PL
Upper Marlboro, MD 20774-5776 - Phone
- (240) 535-6876
- NPI assigned
- Jan 3, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 05406 | MD | Primary |
Addresses
Primary practice location
11454 Dunloring PL
Upper Marlboro, MD 20774-5776
Mailing address
11454 Dunloring PL
Upper Marlboro, MD 20774-5776
Phone (240) 535-6876
Other practice location 1
Drew-Freeman Middle School
2600 Brooks Drive
Suitland, MD 20746
Phone (301) 817-0900
Other practice location 2
John Carroll
1400 Nalley Terrace
Landover, MD 20785
Phone (301) 618-8300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05406 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1023581998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11454 DUNLORING PL",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745776",
"telephone_number": "240-535-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11454 DUNLORING PL",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745776",
"telephone_number": "240-535-6876"
}
],
"practiceLocations": [
{
"address_1": "Drew-Freeman Middle School",
"address_2": "2600 Brooks Drive",
"address_purpose": "LOCATION",
"city": "Suitland",
"state": "MD",
"postal_code": "20746",
"country_code": "US",
"telephone_number": "301-817-0900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "John Carroll",
"address_2": "1400 Nalley Terrace",
"address_purpose": "LOCATION",
"city": "Landover",
"state": "MD",
"postal_code": "20785",
"country_code": "US",
"telephone_number": "301-618-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "MARCELLA",
"credential": "SPEECH-LANGUAGE PATH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.