A V Coleman LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

A V COLEMAN LLC

Practice address

416 Calabria Beach St
Henderson, NV 89015-2442

Phone

(702) 299-5626

NPI assigned

Aug 14, 2025

Last updated

Aug 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avelina Villosillo Coleman

Title

Owner

Phone

(702) 299-5626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avelina Villosillo Coleman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1720454374
  Medicare reassignment NPD

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1114803962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CALABRIA BEACH ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890152442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CALABRIA BEACH ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890152442",
            "telephone_number": "702-299-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A V COLEMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "AVELINA VILLOSILLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-299-5626"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.