Organization Active NPI

Dona Nicole Coleman, Aprn, FNP-C, PLLC

  • Rural Health Clinic/Center
  • Cleveland, TX
National Provider Identifier
1124784673
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DONA NICOLE COLEMAN, APRN, FNP-C, PLLC
Practice address
203 N College Ave Ste 2001
Cleveland, TX 77327-4966
Phone
(832) 318-9800
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dona Nicole Coleman, APRNNPI 1265026058
Title
FNP-C
Phone
(281) 761-5471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

203 N College Ave Ste 2001
Cleveland, TX 77327-4966

Mailing address

30022 Walton Heath Dr
Cleveland, TX 77327-2752
Phone (281) 761-5471

Other names 1

  • Welllife Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208000877 TX Part B Supplier - Clinic/Group Practice 7618367954 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2237826Dona Nicole Coleman, Aprn, FNP-C, PLLC203 N College Ave, Ste 2001, Cleveland, TX 77327Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

207 S Bonham Ave
Cleveland, TX 77327
Phone (832) 318-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1124784673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30022 WALTON HEATH DR",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773272752",
            "telephone_number": "281-761-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N COLLEGE AVE STE 2001",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274966",
            "telephone_number": "832-318-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONA NICOLE COLEMAN, APRN, FNP-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "281-761-5471",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welllife",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Welllife",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.