Individual provider Active NPI

Brittani Nicholl Coleman

  • Occupational Therapist
  • Shreveport, LA
National Provider Identifier
1194530550
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT.200614 Issued in LA
Practice address
2025 Southern Ave
Shreveport, LA 71104-2016
Phone
(318) 219-6064
Fax
(318) 225-7928
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTT.200614 LA Primary

Addresses

Primary practice location

2025 Southern Ave
Shreveport, LA 71104-2016

Mailing address

6005 Kirsten LN
Shreveport, LA 71129-4356
Phone (318) 422-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTT.200614LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeter Speech Language Pathology Services, LLC Single Specialty CurrentSince Feb 23, 2025 Accepting new patients

Locations

2025 Southern Ave
Shreveport, LA 71104
Phone (318) 219-6064

Organizations & group practices 1

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1194530550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 KIRSTEN LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711294356",
            "telephone_number": "318-422-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SOUTHERN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042016",
            "telephone_number": "318-219-6064",
            "fax_number": "318-225-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRITTANI",
        "middle_name": "NICHOLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.