Individual provider Active NPI

Felecia R Donald-Coleman, RN

  • Registered Nurse
  • Eastpointe, MI
National Provider Identifier
1215765102
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704187312 Issued in MI
Practice address
18121 E 8 Mile Rd Ste 105
Eastpointe, MI 48021-3245
Phone
(586) 646-6295
Fax
(248) 747-8377
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 2024402 MI
Registered Nurse 163W00000X 4704187312 MI Primary

Addresses

Primary practice location

18121 E 8 Mile Rd Ste 105
Eastpointe, MI 48021-3245

Mailing address

9161 Audubon Rd
Detroit, MI 48224-2501
Phone (586) 646-6295

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704187312MIMDRegistered Nurse
2024402MIMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1215765102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 AUDUBON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242501",
            "telephone_number": "586-646-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 E 8 MILE RD STE 105",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213245",
            "telephone_number": "586-646-6295",
            "fax_number": "248-747-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD-COLEMAN",
        "first_name": "FELECIA",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "2024402",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704187312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

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