Individual provider Active NPI

Sandra Lynn Coleman, FNP-C

  • General Practice Registered Nurse
  • Monroe, LA
National Provider Identifier
1124334412
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
06192 Issued in LA
Practice address
2101 Tower Dr
Monroe, LA 71201-5045
Phone
(318) 387-4878
Fax
(318) 387-1317
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 06192 LA Primary

Addresses

Primary practice location

2101 Tower Dr
Monroe, LA 71201-5045

Mailing address

5152 Naff Ave
Bastrop, LA 71220-8245
Phone (318) 281-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110315000971 LA Practitioner - Nurse Practitioner 9830386812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
06192LAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Medical Consulting, LLC CurrentSince Feb 18, 2017 Accepting new patients
Northeast Rural Health Center Past Accepting new patients
Northeast Medical Transit, Inc. Past Accepting new patients
Solutions Medical Consulting, LLC Nurse Practitioner PastSince Feb 18, 2017 Accepting new patients

Locations

2404 Duval Dr
Monroe, LA 71201
Phone (318) 322-0640

1495 Frazier Rd
Ruston, LA 71270
Phone (318) 202-3860

Interoperability endpoints

  • Direct secure messaging: scoleman@wchs.securechart.com

Organizations & group practices 4

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1124334412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 NAFF AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712208245",
            "telephone_number": "318-281-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015045",
            "telephone_number": "318-387-4878",
            "fax_number": "318-387-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "LA",
            "license": "06192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.