Active NPI
Felecia R Donald-Coleman, RN
- Registered Nurse
- Eastpointe, MI
National Provider Identifier
1215765102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704187312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704187312 | MI | MD | Registered Nurse |
| 2024402 | MI | MD | Community 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.