Individual provider Active NPI

Latoya Coleman, APRN

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1265212708
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022762 Issued in IL
Practice address
1508 Essington Rd Ste 5
Joliet, IL 60435-2875
Phone
(815) 733-5952
NPI assigned
Oct 3, 2023
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209022762 IL Primary

Addresses

Primary practice location

1508 Essington Rd Ste 5
Joliet, IL 60435-2875

Mailing address

1508 Essington Rd Ste 5
Joliet, IL 60435-2875
Phone (815) 733-5952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240520002906 IL Practitioner - Nurse Practitioner 6103268339 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209022762ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E Mediate Cure LLC CurrentSince May 12, 2024 Accepting new patients
A Plus Healthcare Management LLC Current Accepting new patients
E Mediate Cure LLC CurrentSince May 6, 2024 Accepting new patients

Locations

1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

Interoperability endpoints

  • Direct secure messaging: latoya.coleman.1@17829.direct.athenahealth.com

Organizations & group practices 3

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1265212708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 ESSINGTON RD STE 5",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352875",
            "telephone_number": "815-733-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 ESSINGTON RD STE 5",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352875",
            "telephone_number": "815-733-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LATOYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.