Active NPI
Kimberly Coleman
- Massage Therapist
- Mount Juliet, TN
National Provider Identifier
1295577849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11883
- Practice address
- 1984 Providence Pkwy Ste 201
Mount Juliet, TN 37122-4459 - Phone
- (615) 586-1110
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | TN | ||
| Massage Therapist | 225700000X | 11883 | TN | Primary |
Addresses
Primary practice location
1984 Providence Pkwy Ste 201
Mount Juliet, TN 37122-4459
Mailing address
1984 Providence Pkwy Ste 201
Mount Juliet, TN 37122-4459
Phone (615) 586-1110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11883 | TN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1295577849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1984 PROVIDENCE PKWY STE 201",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371224459",
"telephone_number": "615-586-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 PROVIDENCE PKWY STE 201",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371224459",
"telephone_number": "615-586-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "11883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.