Individual provider Active NPI

Stancy Tomekio Coleman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1265024517
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218487 Issued in LA
Practice address
6015 Hearne Ave
Shreveport, LA 71108-3803
Phone
(318) 213-0904
Fax
(318) 213-1338
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 218487 LA Primary
Family Nurse Practitioner 363LF0000X 218487 LA

Addresses

Primary practice location

6015 Hearne Ave
Shreveport, LA 71108-3803

Mailing address

1958 E 70TH St Ste a
Shreveport, LA 71105-5339
Phone (318) 540-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005001364 LA Practitioner - Nurse Practitioner 2163820234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1411 Claiborne Ave
Shreveport, LA 71103-4203
Phone (318) 540-9054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218487LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L & a Mental Health LLC Single Specialty CurrentSince Jun 25, 2021 Accepting new patients
Unlimited Alternatives to Change, LLC Single Specialty CurrentSince Jan 14, 2024 Accepting new patients

Locations

3018 Old Minden Rd
Ste 1117
Bossier City, LA 71112
Phone (318) 349-0907

6015 Hearne Ave
Shreveport, LA 71108
Phone (318) 213-0904

2800 Youree Dr
Ste 120
Shreveport, LA 71104
Phone (318) 572-0360

1411 Claiborne Ave
Shreveport, LA 71103
Phone (318) 222-8820

2000 Creswell Ave
Shreveport, LA 71104
Phone (318) 313-2944

Organizations & group practices 2

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1265024517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 E 70TH ST STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055339",
            "telephone_number": "318-540-7330",
            "fax_number": "318-795-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083803",
            "telephone_number": "318-213-0904",
            "fax_number": "318-213-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "STANCY",
        "middle_name": "TOMEKIO",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "218487",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.