Individual provider Active NPI

Melanie A Coleman, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1154320026
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
071167 Issued in TN
Practice address
849 Lakemont Dr
Nashville, TN 37220-2110
Phone
(615) 429-8334
NPI assigned
Jul 21, 2005
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 071167 TN Primary

Addresses

Primary practice location

849 Lakemont Dr
Nashville, TN 37220-2110

Mailing address

849 Lakemont Dr
Nashville, TN 37220-2110

Other identifiers 4

IdentifierTypeStateIssuer
3635041MedicaidTN
009940495MedicaidAL
4072328OtherTNBCBS NUMBER
74007832MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830001781 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163329970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ddec Anesthesia, LLCGroup PAC ID 4587963491, 17 clinicians

Practice addresses (Care Compare)

222 22ND Ave N
Suite 300
Nashville, TN 37203-0802
Phone (615) 340-4629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10645TNMDDentist
071167TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stage Two Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2018 Accepting new patients
Eye Center of Nashville Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2018 Accepting new patients
Ddec Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2020 Accepting new patients
Digestive Disease Endoscopy Center Inc. PastSince Apr 25, 2020 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

222 22nd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 340-4629

310 25th Ave N
Ste 105
Nashville, TN 37203
Phone (615) 329-9023

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1154320026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 LAKEMONT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372202110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 LAKEMONT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372202110",
            "telephone_number": "615-429-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MELANIE",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "071167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3635041",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940495",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "4072328",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74007832",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.