Cynthia Coleman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN59912-FNP-BC Issued in WV

Practice address

4607 Maccorkle Ave SW
South Charleston, WV 25309-1364

Phone

(304) 414-2800

NPI assigned

Oct 30, 2013

Last updated

Jan 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1124456074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRICK CIR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253133407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-414-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Great Teays Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609816",
            "country_code": "US",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Hills Plz",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253872438",
            "country_code": "US",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN59912-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Cochran
• Jazmine Skylar Raine Cochran
• Tomi Linnea Cochran
• Debra A Cogar
• Samantha Cole
• Jason Coleman
• Jessica Ann Coleman
• Kassie Coleman
• Lillian Coleman
• Patricia Coleman

• Family Nurse Practitioner in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.