Jacob Nathaniel Coleman

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

0001281558 Issued in VA

Practice address

423 Manchester PL
Bristol, TN 37620-6631

Phone

(276) 701-9895

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1134990971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MANCHESTER PL",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206631",
            "telephone_number": "276-701-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MANCHESTER PL",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206631",
            "telephone_number": "276-701-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JACOB",
        "middle_name": "NATHANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001281558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Clark, M.D.
• Harry Phillip Claybrook, MD
• Clayton Medical Corporation PLC
• Ashley Ann Clymens
• Jerry Cohee, RPA/RA
• Robert M Coleman, MD
• Brittney Lynn Collins, FNP-C
• Cecil Eugene Collins Jr., D.C.
• John Wayne Collins, DO
• Sidney W Collins Jr., MD

• Critical Care Medicine Registered Nurse in Bristol, TN
• Providers in Bristol, TN by specialty
• Critical Care Medicine Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.