Active NPI
Brittani Nicholl Coleman
- Occupational Therapist
- Shreveport, LA
National Provider Identifier
1194530550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.200614 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeter Speech Language Pathology Services, LLC | Single Specialty | Current | 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.
-
- Speech-Language Pathologist
- Shreveport, LA
- NPI 1851924237
Single Specialty
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.