Individual provider Active NPI

Kathleen Coleman

  • Chiropractor
  • Arvada, CO
National Provider Identifier
1215300751
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007114 Issued in CO
Practice address
12371 W 64TH Ave
Unit B
Arvada, CO 80004-4037
Phone
(864) 884-5699
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007114 CO Primary

Addresses

Primary practice location

12371 W 64TH Ave
Unit B
Arvada, CO 80004-4037

Mailing address

12371 W 64TH Ave
Unit B
Arvada, CO 80004-4037
Phone (864) 884-5699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000336 SC Practitioner - Chiropractic 4981045051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5052 Old Buncombe Rd
Suite C
Greenville, SC 29617-8260
Phone (864) 294-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007114COMDChiropractor
4175SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Bodywork LLC Chiropractor CurrentSince Feb 13, 2024 Accepting new patients

Locations

5052 Old Buncombe Rd
Ste C
Greenville, SC 29617
Phone (864) 294-0010

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1215300751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 W 64TH AVE",
            "address_2": "UNIT B",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044037",
            "telephone_number": "864-884-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 W 64TH AVE",
            "address_2": "UNIT B",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044037",
            "telephone_number": "864-884-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.