Individual provider Active NPI

Marlene D Coleman

  • Naturopath
  • Hazelwood, MO
National Provider Identifier
1245830033
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Practice address
4940 Hurstborough CT
Hazelwood, MO 63042-1592
Phone
(314) 605-3101
NPI assigned
Oct 29, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X Primary

Addresses

Primary practice location

4940 Hurstborough CT
Hazelwood, MO 63042-1592

Mailing address

4940 Hurstborough CT
Hazelwood, MO 63042-1592
Phone (314) 605-3101

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.practicallyperfectwellness.com Direct Practically Perfect Wellness

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

Practice roles

OrganizationSpecialtyStatusNew patients
Practically Perfect Wellness Naturopath PastSince Apr 19, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245830033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 HURSTBOROUGH CT",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421592",
            "telephone_number": "314-605-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 HURSTBOROUGH CT",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421592",
            "telephone_number": "314-605-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARLENE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicallyperfectwellness.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Practically Perfect Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business",
            "address_1": "8330 Willow Place Dr S",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770705746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.